Professional Occupational & Physical Therapy, Pllc
NPI #1629517206 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1629517206
- Entity Type
- Organization
- Organization Name
- Professional Occupational & Physical Therapy, Pllc
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Feb 16, 2017
- Last Updated
- Mar 28, 2018
Practice Location
- Address
- 85 S MAPLE AVE
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4561
- Phone
- (201) 857-5396
Authorized Official
- Name
- KATHLEEN BRUSH
- Title
- CREDENTIALING MANAGER
- Phone
- (631) 359-5859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
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