Organization Name: | LIVINGSTON PHYSICAL THERAPY, LLC |
NPI Number: | 1427304674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE LIVINGSTON (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 14 Ayers Ln Little Silver |
State: | NJ US |
Postal Code: | 077391201 |
Phone Number: | 7328591028 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2012 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | QA00769400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |