# INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316765209
- **Authorized official:** DENISE TAVARES (BILLING MANAGER)
- **Authorized official phone:** (609) 423-2069

## Contact information

- **Practice address:** 301 N HARRISON ST STE 200, PRINCETON, NJ 08540-3527
- **Practice address phone:** (609) 423-2069
- **Mailing address:** 3562 ROUTE 27; SUITE 124, KENDALL PARK, NJ 08824
- **Mailing address phone:** (609) 423-2069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2024
- **Last updated:** 09/30/2024