| Organization Name: | BERKELEY HEIGHTS PHYSICAL THERAPY, LLC |
| NPI Number: | 1134181209 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY FITZGERALD (OWNER) |
| Mailing Address: | 391 Springfield Ave Suite 2a Berkeley Heights |
| State: | NJ US |
| Postal Code: | 079221108 |
| Phone Number: | 9088981950 |
| Fax Number: | 9088981960 |
| NPI Enumeration Date: | 04/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 40QA00847100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |