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Organization
MAGNA VITA REHAB AND WELLNESS
Active
Organization
MAGNA VITA REHAB AND WELLNESS
Active
Other names
Magna Vita Rehab and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSLYN MANDRIQUE BATIANCILA DPT (MANAGING DIRECTOR)
(973) 566-4772
Entity
Organization
Contact information
Practice address
61 DAVIS AVE, BLOOMFIELD, NJ 07003-4116
(973) 566-4772
Mailing address
61 DAVIS AVE, BLOOMFIELD, NJ 07003-4116
(973) 566-4772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
01/25/2023
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