Healthcare Provider Details

I. General information

NPI: 1831797000
Provider Name (Legal Business Name): COREBYCHRIS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2020
Last Update Date: 08/09/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SCHOOLHOUSE LN
FLANDERS NJ
07836-4002
US

IV. Provider business mailing address

11 SCHOOLHOUSE LN
FLANDERS NJ
07836-4002
US

V. Phone/Fax

Practice location:
  • Phone: 201-815-9763
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN DELACRUZ
Title or Position: PHYSICAL THERAPIST / OWNER
Credential: DPT
Phone: 201-815-9763