# HEALTH AND WELLNESS PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548740087
- **Authorized official:** GRACE HANCOCK (OFFICE MANAGER)
- **Authorized official phone:** (973) 851-5939

## Contact information

- **Practice address:** 412 PLEASANT VALLEY WAY STE 206, WEST ORANGE, NJ 07052-2934
- **Practice address phone:** (973) 400-8741
- **Mailing address:** 412 PLEASANT VALLEY WAY STE 206, WEST ORANGE, NJ 07052-2934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01004800 | NJ | Yes |

## Other

- **Enumeration date:** 08/15/2018
- **Last updated:** 08/15/2018