Organization Name: | THE NEW JERSEY CENTER OF PHYSICAL THERAPY, INC. |
NPI Number: | 1063508174 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEIR BENJAMIN BURTON (OWNER) |
Mailing Address: | 49 Hamburg Tpke Riverdale |
State: | NJ US |
Postal Code: | 074571127 |
Phone Number: | 9732488111 |
Fax Number: | 9732488113 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251C2600X |
License Number: | 40QA00621100 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Cardiopulmonary |
Taxonomy Definition: |