1 Prospect Physical Therapy, Llc

NPI 1356570246 - Physical Therapist - 2251X0800X

NPI Details
NPI 1356570246
Enumeration Date 07/13/2009
Last Updated 12/03/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ELAN ELAN
Position OWNER/MEMBER
Phone (973) 731-7877
Fax (973) 731-6332
Practice Location
470 PROSPECT AVE
SUITE 100
WEST ORANGE NJ, 07052-4153, US
Phone (973) 731-7877
Fax (973) 731-6332
Business Location
470 PROSPECT AVE
SUITE 100
WEST ORANGE NJ, 07052-4153, US
Phone (973) 731-7877
Fax (973) 731-6332
Toxanomy
Taxonomy Code 2251X0800X
License State New Jersey
License Number 40QA01351300
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According to our database, 1 Prospect Physical Therapy, Llc NPI is 1356570246, taxonomy code is 2251X0800X and license number is 40QA01351300, license state is located at New Jersey. 1 Prospect Physical Therapy, Llc physically located at 470 Prospect Ave, West Orange NJ, 07052-4153. NPI Number 1033115704 has the healthcare provider type.

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1356570246 NPI number is provided on an as is basis without warranty of any kind. 1356570246 is maintained by the National Plan & Provider Enumeration System. The contents of 1 Prospect Physical Therapy, Llc are for informational purposes only.