Organization Name: | FIRST CLASS PHYSICAL THERAPY (NJ), PC |
NPI Number: | 1629416599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAVEL KHROMCHENKO (MEDICAL DIRECTOR) |
Mailing Address: | 124 Gregory Ave Passaic |
State: | NJ US |
Postal Code: | 070554856 |
Phone Number: | 3474624876 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00840600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |