Provider Demographics
NPI:1629028402
Name:ABERDEEN PHYSICAL THERAPY, P.A.
Entity Type:Organization
Organization Name:ABERDEEN PHYSICAL THERAPY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARCHESE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-290-1080
Mailing Address - Street 1:1323A ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1944
Mailing Address - Country:US
Mailing Address - Phone:732-290-1080
Mailing Address - Fax:732-290-1082
Practice Address - Street 1:1323A ROUTE 34
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1944
Practice Address - Country:US
Practice Address - Phone:732-290-1080
Practice Address - Fax:732-290-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy