Basic Information
| Provider Information | |||||||||
| NPI: | 1801146287 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ABILITIES IN ACTION, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 BRIDGEWATERS DRIVE SUITE | ||||||||
| Address2: | |||||||||
| City: | OCEANPORT | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07757 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 14 BRIDGEWATERS DRIVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | OCEANPORT | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7325426600 | ||||||||
| FaxNumber: | 7325426606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2012 | ||||||||
| LastUpdateDate: | 09/13/2012 | ||||||||
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| AuthorizedOfficialLastName: | CALDARELLA | ||||||||
| AuthorizedOfficialFirstName: | KRISTY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7325426600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT, PCS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | 41YS00621000 | NJ | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.