Provider Demographics
NPI:1689270290
Name:PRACTICALLY PERFECT PHYSICAL THERAPY CONSULTING LLC
Entity Type:Organization
Organization Name:PRACTICALLY PERFECT PHYSICAL THERAPY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORA
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:PLUCHINO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, PRPC
Authorized Official - Phone:609-300-3963
Mailing Address - Street 1:311 S NEW YORK RD STE 23
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-6025
Mailing Address - Country:US
Mailing Address - Phone:609-300-3963
Mailing Address - Fax:
Practice Address - Street 1:107 BERESFORD DR
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4881
Practice Address - Country:US
Practice Address - Phone:908-868-4601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy