NPI 1225376148

Freedom Pediatric Therapy LLC

Organisation Early Intervention Provider Agency Lakewood, NJ

Practice location

Address: 310 2nd St, Lakewood, NJ 08701-3351
Phone: (732) 367-4569
Fax: (732) 367-3253

Authorised official

Name: Sheva S Reisner
Title: Administrator
Phone: (732) 367-4569

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in New Jersey →

Registry record

NPI: 1225376148
Entity type: Organization
NPI issued: 28 Jan 2013
Record last updated: 28 Jan 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.