Spine & Sports Medicine of Lincroft, LLC
NPI #1649832197 in Lincroft, New Jersey
Provider Information
- NPI Number
- 1649832197
- Entity Type
- Organization
- Organization Name
- Spine & Sports Medicine of Lincroft, LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Jul 5, 2019
- Last Updated
- May 2, 2024
Practice Location
- Address
- 5 SWIMMING RIVER RD
- City
- Lincroft
- State
- New Jersey
- ZIP Code
- 07738-1725
- Phone
- (324) 514-5787
Authorized Official
- Name
- NICOLE FULLAWAY, PT, DPT
- Title
- DIRECTOR
- Phone
- (732) 714-0070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Acupuncturist |
| Chiropractor |
| Physical Medicine & Rehabilitation |
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| DR. Linda M Graves, M.D. | |
| DR. John Zachary Shumko, M.D. | |
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