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Organization
NORTH JERSEY PHYSICAL THERAPY & WELLNESS CENTER LLC
Active
Organization
NORTH JERSEY PHYSICAL THERAPY & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUSSONELLA (OWNER)
(973) 340-1940
Entity
Organization
Contact information
Practice address
1373 BROAD ST STE 301, CLIFTON, NJ 07013-4200
(973) 340-1940
(973) 340-1947
Mailing address
1373 BROAD ST STE 301, CLIFTON, NJ 07013-4200
(973) 340-1940
(973) 340-1947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
05/26/2016
Last updated
12/10/2020
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