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Organization
WANTAGE PHYSICAL REHABILITATION LLC
Active
Organization
WANTAGE PHYSICAL REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PREMSHANKAR NADAR PT (OWNER OPERATOR)
(201) 912-7491
Entity
Organization
Contact information
Practice address
359 ROUTE 23, SUSSEX, NJ 07461-3105
(973) 875-1974
(973) 875-1984
Mailing address
359 ROUTE 23, SUSSEX, NJ 07461-3105
(973) 875-1974
(973) 875-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1231776
NJ
225X00000X
Occupational Therapist
1231776
NJ
Other
Enumeration date
11/06/2006
Last updated
08/02/2023
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