Provider Demographics
NPI:1679732770
Name:HORIZON PHYSICAL THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:HORIZON PHYSICAL THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:MUSOLF
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MPT
Authorized Official - Phone:732-599-6681
Mailing Address - Street 1:3 W ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7616
Mailing Address - Country:US
Mailing Address - Phone:732-599-6681
Mailing Address - Fax:
Practice Address - Street 1:3 W ESPLANADE
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7616
Practice Address - Country:US
Practice Address - Phone:732-599-6681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01151500261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy