Provider Demographics
NPI:1972726594
Name:ASPEN PHYSICAL THERAPY CENTERS, LLP
Entity Type:Organization
Organization Name:ASPEN PHYSICAL THERAPY CENTERS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-881-5800
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-0179
Mailing Address - Country:US
Mailing Address - Phone:856-881-5800
Mailing Address - Fax:856-881-3511
Practice Address - Street 1:601 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-1637
Practice Address - Country:US
Practice Address - Phone:856-881-5800
Practice Address - Fax:856-881-3511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty