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Organization

PRO PHYSICAL THERAPY, LLC

Active
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Organization

PRO PHYSICAL THERAPY, LLC

Active
Other names
PRO Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JODI E DEVINCENTIS PT (PRESIDENT)
(973) 895-9925
Entity
Organization

Contact information

Practice address
2 EMERY AVE, SUITE 3, RANDOLPH, NJ 07869-1368
(973) 895-9925
(973) 895-9927
Mailing address
2 EMERY AVE, SUITE 3, RANDOLPH, NJ 07869-1368
(973) 895-9925
(973) 895-9927

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
07/26/2006
Last updated
10/29/2010
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