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Organization
IMPERIAL VISTA CARE INC
Active
Organization
IMPERIAL VISTA CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUCHETA A SATHE B.S., LMT (DIRECTOR OF OPERATIONS)
(732) 213-1343
Entity
Organization
Contact information
Practice address
401 RIDGE RD, SUITE 1, DAYTON, NJ 08810-3300
(732) 543-8798
(732) 230-3079
Mailing address
401 RIDGE RD, SUITE 1, DAYTON, NJ 08810-3300
(732) 543-8798
(732) 230-3079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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