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Organization
ELITE SPORTS PHYSICAL THERAPY
Active
Organization
ELITE SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON WENTWORTH DPT, MSPT (OWNER)
(732) 544-0011
Entity
Organization
Contact information
Practice address
1540 W PARK AVE, STE 4, TINTON FALLS, NJ 07712-3191
(732) 544-0011
(732) 544-1115
Mailing address
1540 W PARK AVE, STE 4, TINTON FALLS, NJ 07712-3191
(732) 544-0011
(732) 544-1115
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
03/13/2017
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