NPI 1033547005

Mgt Physical Therapy LLC

Organisation Physical Disabilities Residential Treatment Facility South Amboy, NJ

Practice location

Address: 112 N Broadway APT E, South Amboy, NJ 08879-1675
Phone: (732) 609-1547

Authorised official

Name: Eduardo Mauricio Trujillo
Title: Physical Therapist
Phone: (732) 609-1547

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 40QAO1259300 (NJ)

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Registry record

NPI: 1033547005
Entity type: Organization
NPI issued: 29 Oct 2013
Record last updated: 29 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.