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NPI Code Detail

MEDICARE: FOCUS PHYSICAL THERAPY LLC

MEDICARE: FOCUS PHYSICAL THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist25MZ00038000NJ
2225100000XPhysical Therapist40QA01116800NJ

General Provider Information

NPI Number : 1558406686
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOCUS PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 552 VALLEY RD
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07043-1805
Country : US
Telephone Number : 973-509-0827
Fax Number : 973-509-0877
Provider Business Practice Location Address
First Line : 552 VALLEY RD
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07043-1805
Country : US
Telephone Number : 973-509-0827
Fax Number : 973-509-0877
Authorized Official
Title or Position : OWNER
Name : MR. DAVID VRSALOVIC
Credential : P.T.
Telephone Number : 973-509-0827
Provider Enumeration Date : 02/20/2007
Last Update Date : 09/25/2015

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Practice Location Address:
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1134264732 — MR. DAVID VRSALOVIC P.T.
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Directions to “FOCUS PHYSICAL THERAPY LLC ” Practice Location

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