Healthcare Provider Details

I. General information

NPI: 1851325443
Provider Name (Legal Business Name): DCD THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DEMERCURIO DR SUITE 5
ALLENDALE NJ
07401-1717
US

IV. Provider business mailing address

1 DEMERCURIO DR SUITE 5
ALLENDALE NJ
07401-1717
US

V. Phone/Fax

Practice location:
  • Phone: 201-818-2700
  • Fax: 201-818-3023
Mailing address:
  • Phone: 201-818-2700
  • Fax: 201-818-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberQAO8973
License Number StateNJ

VIII. Authorized Official

Name: MISS CHRISTINE ZIC
Title or Position: CO-OWNER
Credential: DPT
Phone: 201-818-2700