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Organization
INNOVATIVE PHYSICAL REHAB AND WELLNESS CENTER
Active
Organization
INNOVATIVE PHYSICAL REHAB AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE TAVARES (BILLING MANAGER)
(732) 317-4105
Entity
Organization
Contact information
Practice address
2204 ROUTE 18 NORTH, OLD BRIDGE, NJ 08857
(732) 317-4105
Mailing address
2204 ROUTE 18 NORTH, OLD BRIDGE, NJ 08857-2758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
09/09/2021
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