Organization Name: | ADVANCED MOTION PHYSICAL THERAPY LLC |
NPI Number: | 1477955938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE HEIDI MILLNER (FOUNDER) |
Mailing Address: | 126 Brook Valley Rd Kinnelon |
State: | NJ US |
Postal Code: | 074053321 |
Phone Number: | 9732718342 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 40QA01251000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |