Active Physical Rehabilitation

NPI #1730760612 in Manasquan, New Jersey

Provider Information

NPI Number: 1730760612
Entity Type: Organization
Organization Name: Active Physical Rehabilitation
Primary Specialty: Physical Therapist
Enumeration Date: Apr 21, 2021
Last Updated: Apr 21, 2021

Practice Location

Address: 2516 HIGHWAY 35
City: Manasquan
State: New Jersey
ZIP Code: 08736-1925
Phone: (732) 223-6312

Authorized Official

Name: MRS. DIANE WILLIS-MOORE
Title: SUPERVISOR/BILLER
Phone: (732) 223-6309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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