Provider First Line Business Practice Location Address:
55-77 SCHANCK RD STE B-17
Provider Second Line Business Practice Location Address:
GARDEN STATE PHYSICAL THERAPY GROUP
Provider Business Practice Location Address City Name:
FREEHOLD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07728-2964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-415-5414
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/11/2012