Provider Demographics
NPI:1487865903
Name:A & M PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:A & M PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DREYTSER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-333-1937
Mailing Address - Street 1:328 AUTUMN HILL DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-2043
Mailing Address - Country:US
Mailing Address - Phone:732-816-4516
Mailing Address - Fax:
Practice Address - Street 1:2698 COUNTY ROAD 516
Practice Address - Street 2:SUITE B
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2305
Practice Address - Country:US
Practice Address - Phone:732-333-1937
Practice Address - Fax:732-333-1904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00954300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty