Provider Demographics
NPI:1144079591
Name:STRONG FOR LIFE THERAPY & WELLNESS, P.C.
Entity type:Organization
Organization Name:STRONG FOR LIFE THERAPY & WELLNESS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS
Authorized Official - Phone:732-962-8924
Mailing Address - Street 1:8 SPRUCE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3424
Mailing Address - Country:US
Mailing Address - Phone:732-962-8924
Mailing Address - Fax:
Practice Address - Street 1:8 SPRUCE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3424
Practice Address - Country:US
Practice Address - Phone:732-962-8924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy