Provider Demographics
NPI:1841433752
Name:FREEDOM AT HOME PHYSICAL THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:FREEDOM AT HOME PHYSICAL THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-961-7537
Mailing Address - Street 1:4057 ROUTE 9 N
Mailing Address - Street 2:NUMBER 150
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3307
Mailing Address - Country:US
Mailing Address - Phone:732-961-7537
Mailing Address - Fax:
Practice Address - Street 1:4057 ROUTE 9 N
Practice Address - Street 2:NUMBER 150
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3307
Practice Address - Country:US
Practice Address - Phone:732-961-7537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00882200261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy