Indigo Aquatic Therapy LLC
NPI #1972936417 in Hawthorne, New Jersey
Provider Information
- NPI Number
- 1972936417
- Entity Type
- Organization
- Organization Name
- Indigo Aquatic Therapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 20, 2013
- Last Updated
- Jan 24, 2014
Practice Location
- Address
- 599 GOFFLE HILL RD
- City
- Hawthorne
- State
- New Jersey
- ZIP Code
- 07506-3037
- Phone
- (973) 949-3927
Authorized Official
- Name
- STACEY O'CONNOR, DPT
- Title
- SOLE MEMBER
- Phone
- (973) 949-3927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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