Organization · Type 2 NPI
Core Physical Therapy and Sports Performance
Clinic/Center · Nutley, NJ
NPI number
1972828648
Active
Practice location
119 Franklin Ave.
Nutley, NJ 07110
Fax (973) 542-8354
Mailing address
119 Franklin Ave
Nutley, NJ 07110-2924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 40QA01091900 (NJ) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1972828648
Core Physical Therapy and Sports Performance's National Provider Identifier is 1972828648, issued on Apr 6, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Nutley, NJ. The record was last updated on Oct 31, 2015.