| Organization Name: | PEAK MOTION PHYSICAL THERAPY, PA |
| NPI Number: | 1114342938 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLO UCOL (OWNER) |
| Mailing Address: | 201 Lower Notch Rd # A-3 Little Falls |
| State: | NJ US |
| Postal Code: | 074241802 |
| Phone Number: | 9738376600 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2014 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |