| Organization Name: | NORTHERN VALLEY PHYSICAL THERAPY PA |
| NPI Number: | 1629096292 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE KEEHN (DIRECTOR) |
| Mailing Address: | 160 Paris Ave Suite 2 Northvale |
| State: | NJ US |
| Postal Code: | 076472042 |
| Phone Number: | 2017676700 |
| Fax Number: | 2017676703 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 04/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 40QA00226900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |