Healthcare Provider Details

I. General information

NPI: 1467114439
Provider Name (Legal Business Name): MAGS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 PARK LN
ESSEX FELLS NJ
07021-1107
US

IV. Provider business mailing address

53 PARK LN
ESSEX FELLS NJ
07021-1107
US

V. Phone/Fax

Practice location:
  • Phone: 908-797-8653
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARGARET NOWAK
Title or Position: OWNER
Credential: PT
Phone: 908-797-8653