# INNOVATIVE PHYSICAL THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Physical Therapy and Fitness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497562961
- **Authorized official:** DENISE TAVARES (BILLING MANAGER)
- **Authorized official phone:** (732) 790-8486

## Contact information

- **Practice address:** 627 SPOTSWOOD ENGLISHTOWN RD STE 4, MONROE, NJ 08831-3307
- **Practice address phone:** (732) 790-8486
- **Practice address fax:** (732) 966-9516
- **Mailing address:** 627 SPOTSWOOD ENGLISHTOWN RD STE 4, MONROE, NJ 08831-3307
- **Mailing address phone:** (732) 790-8486
- **Mailing address fax:** (732) 966-9516

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2024
- **Last updated:** 12/17/2024