| NPI | 1063123982 |
|---|---|
| Doing Business As | ACTIVATE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHANE THOMAS CAPONE Owner 732-581-5389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-27 |