Professional Orthopedic and Sports Physical Therapy of N.j., LLC

NPI #1982143806 in Ridgewood, New Jersey

Provider Information

NPI Number: 1982143806
Entity Type: Organization
Organization Name: Professional Orthopedic and Sports Physical Therapy of N.j., LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

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: (718) 819-6805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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