Freedom Pediatric Therapy LLC
NPI #1225376148 in Lakewood, New Jersey
Provider Information
- NPI Number
- 1225376148
- Entity Type
- Organization
- Organization Name
- Freedom Pediatric Therapy LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 28, 2013
- Last Updated
- Jan 28, 2013
Practice Location
- Address
- 310 2ND ST
- City
- Lakewood
- State
- New Jersey
- ZIP Code
- 08701-3351
- Phone
- (732) 367-4569
Authorized Official
- Name
- MS. SHEVA S REISNER
- Title
- ADMINISTRATOR
- Phone
- (732) 367-4569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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