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Organization
RISE & RESTORE PHYSICAL THERAPY LLC
Active
Organization
RISE & RESTORE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KONZELMAN (OWNER)
(856) 340-8512
Entity
Organization
Contact information
Practice address
141 LA COSTA DR, BLACKWOOD, NJ 08012-5542
(856) 344-3203
Mailing address
141 LA COSTA DR, BLACKWOOD, NJ 08012-5542
(856) 344-3203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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