Organization Name: | ADVANTAGE PHYSICAL THERAPY, PA |
NPI Number: | 1033156013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN JOSEPH DOLAN (VICE PRESIDENT. /PHYSICAL THERAPIST) |
Mailing Address: | 990 Cedarbridge Ave Towne Hall Shoppes Brick |
State: | NJ US |
Postal Code: | 087234159 |
Phone Number: | 7322620111 |
Fax Number: | 7322620332 |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00661600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |