Provider Demographics
NPI:1891083598
Name:H & L PHYSICAL THERAPY
Entity Type:Organization
Organization Name:H & L PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOOBY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-608-5175
Mailing Address - Street 1:120 CHARLOTTE PL
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2615
Mailing Address - Country:US
Mailing Address - Phone:201-608-5175
Mailing Address - Fax:201-608-5173
Practice Address - Street 1:120 CHARLOTTE PL
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2615
Practice Address - Country:US
Practice Address - Phone:201-608-5175
Practice Address - Fax:201-608-5173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0600375653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty