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Contact Information

GAME CHANGER PHYSICAL THERAPY PC
1215 WYCKOFF RD
WALL TOWNSHIP, NJ07727-3914
 Phone: 732-740-5384
 Fax: 212-223-0198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for GAME CHANGER PHYSICAL THERAPY PC

NPI # 1427677509
LBN Legal business name GAME CHANGER PHYSICAL THERAPY PC
Authorized official JEREMY PASTER - (PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2020
Last updated 04/09/2020 - About 6 years ago
Identifiers
NJ Other 40QA01688000 LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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