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Organization
S R E PHYSICAL THERAPY PROFESSIONAL ASSOCIATION
Active
Organization
S R E PHYSICAL THERAPY PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIARREE EVARISTO PT (PRESIDENT)
(347) 965-3356
Entity
Organization
Contact information
Practice address
2044 CENTER AVE, 2FL, FORT LEE, NJ 07024-4930
(201) 585-0636
Mailing address
2044 CENTER AVE, 2FL, FORT LEE, NJ 07024-4930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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