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Contact Information

POOLE AVENUE PHYSICAL THERAPY, PC
812 POOLE AVE
SUITE D
HAZLET, NJ07730-2024
 Phone: 732-739-4666
 Fax: 732-739-0236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for POOLE AVENUE PHYSICAL THERAPY, PC

NPI Number 1275616807
LBN Legal business name POOLE AVENUE PHYSICAL THERAPY, PC
Authorized official CAROL O'LEARY - (OWNER/PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 07/08/2010 - About 16 years ago
Identifiers
NJ Other 2451525 AETNA US HEALTHCARE
NJ Other 509522 UNITEDHEALTHCARE
NJ Other 116115400 US DEPT OF LABOR
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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