Core Basics Physical Therapy

Organization Active NPI Physical Therapist · Maywood, NJ

NPI 1922548155 · NPPES record last updated Mar 7, 2017

Key facts

NPI
1922548155
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
40QA01713200 (NJ)
Legal business name
CORE BASICS PHYSICAL THERAPY
Practice address
255 W Spring Valley Ave
Suite 109
Maywood, NJ 07607-1445
Phone
(201) 300-9897
NPI assigned
Mar 7, 2017
Organization subpart
No

Authorized official

Name
Motaz Ebeido
Title
Ceo
Phone
(201) 300-9897

National Provider Directory

Locations

255 W Spring Valley Ave
Ste 109
Maywood, NJ 07607
Phone (201) 290-1590

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 40QA01713200 NJ Yes

Addresses

Primary practice location

255 W Spring Valley Ave
Suite 109
Maywood, NJ 07607-1445

Mailing address

255 W Spring Valley Ave
Suite 109
Maywood, NJ 07607-1445
Phone (201) 300-9897

Other providers in Maywood, NJ

All providers in Maywood, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.