| Organization Name: | CROSS KEYS PHYSICAL THERAPY SPORTS MEDICINE CENTER, INC |
| NPI Number: | 1528128600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVE ANSELMO (OWNER) |
| Mailing Address: | 151 Fries Mill Rd Bldg. 600,ste. 1 Turnersville |
| State: | NJ US |
| Postal Code: | 080122016 |
| Phone Number: | 8563743707 |
| Fax Number: | 8563743709 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 08/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |