1 Active Mobility LLC
NPI #1609101138 in North Brunswick, New Jersey
Provider Information
- NPI Number
- 1609101138
- Entity Type
- Organization
- Organization Name
- 1 Active Mobility LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 16, 2009
- Last Updated
- Mar 29, 2010
Practice Location
- Address
- 1490 ROUTE 1
- City
- North Brunswick
- State
- New Jersey
- ZIP Code
- 08902-2011
- Phone
- (732) 247-6666
Authorized Official
- Name
- MR. AMADEUS MANATA
- Title
- PRESIDENT
- Phone
- (908) 578-7176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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