NPI 1003611641

Justin a Soto, PTA

Practitioner Physical Therapy Assistant Old Bridge, NJ

Practice location

Address: 300 Perrine Rd STE 315, Old Bridge, NJ 08857-3628
Phone: (877) 532-7837
Mailing address: 2-22 Banta Pl, Fair Lawn, NJ 07410-3058

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00420900 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1003611641
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2025
Record last updated: 25 Feb 2025

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.