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Organization
MILE HIGH PHYSICAL THERAPY PROFESSIONAL CORPORATION
Active
Organization
MILE HIGH PHYSICAL THERAPY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILLIAM STIVERS PT, DPT,OCS (OWNER)
(973) 769-1001
Entity
Organization
Contact information
Practice address
321 CHANGEBRIDGE RD, PINE BROOK, NJ 07058-9583
(973) 396-8585
(973) 396-8587
Mailing address
321 CHANGEBRIDGE RD, PINE BROOK, NJ 07058-9583
(973) 396-8585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
10/17/2023
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