| Organization Name: | ASPEN PHYSICAL THERAPY, P.A. |
| NPI Number: | 1104871128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY PRICKETT (OWNER/PRESIDENT) |
| Mailing Address: | 300 Campus Dr Rr #30 Mount Holly |
| State: | NJ US |
| Postal Code: | 080609604 |
| Phone Number: | 6092613434 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 08/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | N/A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |