Port Imperial Therapy Group LLC
NPI #1679019996 in Weehawken, New Jersey
Provider Information
- NPI Number
- 1679019996
- Entity Type
- Organization
- Organization Name
- Port Imperial Therapy Group LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 10, 2017
- Last Updated
- Aug 14, 2025
Practice Location
- Address
- 500 AVE AT PORT IMPERIAL BLVD STE 110
- City
- Weehawken
- State
- New Jersey
- ZIP Code
- 07086-7542
- Phone
- (201) 272-9400
Authorized Official
- Name
- MRS. JACLYN FULOP
- Title
- CLINIC DIRECTOR
- Phone
- (201) 272-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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