Healthcare Provider Details

I. General information

NPI: 1992831440
Provider Name (Legal Business Name): WORK-UP PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WORK-UP PHYSICAL THERAPY 135 EAST ATLANTIC AVENUE
HADDON HEIGHTS NJ
08035-1901
US

IV. Provider business mailing address

135 E ATLANTIC AVE
HADDON HEIGHTS NJ
08035-1901
US

V. Phone/Fax

Practice location:
  • Phone: 856-546-0377
  • Fax: 856-546-0399
Mailing address:
  • Phone: 856-546-0377
  • Fax: 856-546-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number40QA00472300
License Number StateNJ

VIII. Authorized Official

Name: JAMES CLEMENTS JR.
Title or Position: OWNER
Credential: P.T.
Phone: 856-546-0377