# REFIT PHYSICAL RESTORATION LLC

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

## Provider details

- **NPI number:** 1356716450
- **Authorized official:** SUNNY THAKKAR PT (DIRECTOR)
- **Authorized official phone:** (917) 753-6516

## Contact information

- **Practice address:** 610 WASHINGTON BLVD, JERSEY CITY, NJ 07310-1400
- **Practice address phone:** (917) 753-6516
- **Mailing address:** 610 WASHINGTON BLVD, JERSEY CITY, NJ 07310-1400
- **Mailing address phone:** (917) 753-6516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 40QA01588700 | NJ | Yes |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 12/01/2015