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Organization
PANTHER PHYSICAL THERAPY AND SPORTS
Active
Organization
PANTHER PHYSICAL THERAPY AND SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT L CEASRINE PHYSICAL THERAPY (CO-OWNER)
(908) 889-7900
Entity
Organization
Contact information
Practice address
313 SOUTH AVE STE 205, FANWOOD, NJ 07023-1364
(908) 889-7900
(908) 889-6003
Mailing address
313 SOUTH AVE STE 205, FANWOOD, NJ 07023-1364
(908) 889-7900
(908) 889-6003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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