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Organization
KODIAK HEALTHCARE INC
Active
Organization
KODIAK HEALTHCARE INC
Active
Other names
TU Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DOV IWANISKI (PRESIDENT)
(718) 986-1820
Entity
Organization
Contact information
Practice address
670 N BEERS ST STE 110, HOLMDEL, NJ 07733-1547
(732) 203-0104
Mailing address
670 N BEERS ST STE 110, HOLMDEL, NJ 07733-1547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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