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General NPI Number Information
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NPI Number | 1760274757
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Entity Type | Organization
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Legal Business Name | RIDGEFIELD PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 845 BROAD AVE
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City | RIDGEFIELD
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State | NJ
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Zip | 07657-1055
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Country | US
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Telephone | 908-301-6134
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Fax | 908-301-6586
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Provider Business Mailing Address
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Address Line | 845 BROAD AVE
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City | RIDGEFIELD
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State | NJ
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Zip | 07657-1055
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Country | US
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Telephone | 908-301-6134
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Fax | 908-301-6586
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHELLA Z CAJITA
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Credential | DPT
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Telephone | 908-301-6134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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