Active Physical Therapy Inst., PA
NPI #1518996503 in Elmwood Park, New Jersey
Provider Information
- NPI Number
- 1518996503
- Entity Type
- Organization
- Organization Name
- Active Physical Therapy Inst., PA
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 67 BROADWAY
- City
- Elmwood Park
- State
- New Jersey
- ZIP Code
- 07407
- Phone
- (201) 794-3223
Authorized Official
- Name
- PASKO L GAZIVODA, DPM
- Title
- PRESIDENT
- Phone
- (201) 794-3223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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