Advanced Spine Care Physical Therapy

Organization Active NPI Specialist · Union, NJ

NPI 1376836148 · NPPES record last updated May 26, 2011

Key facts

NPI
1376836148
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
QA001535 (NJ)
Legal business name
ADVANCED SPINE CARE PHYSICAL THERAPY
Practice address
700 Rahway Ave
1St Floor
Union, NJ 07083-6634
Phone
(732) 688-1991
NPI assigned
May 26, 2011
Organization subpart
No

Authorized official

Name
Carol A. Mendillo
Title
Office Manager
Phone
(732) 741-5085

National Provider Directory

Locations

300 W Sylvania Ave
Ste 9
Neptune, NJ 07753
Phone (732) 869-1818

315 State Route 35
Red Bank, NJ 07701
Phone (732) 224-9355

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X QA001535 NJ Yes

Addresses

Primary practice location

700 Rahway Ave
1St Floor
Union, NJ 07083-6634

Mailing address

700 Rahway Ave
1St Floor
Union, NJ 07083-6634
Phone (908) 688-1991

Other providers in Union, NJ

All providers in Union, NJ · Specialist in New Jersey

Sources for this page

Verify at the official NPI Registry.