Organization
IMPERIAL VISTA HEALTH CARE STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUCHETA A SATHE B.S., LMT (DIRECTOR OF OPERATIONS)
(732) 213-1343
Entity
Organization
Contact information
Practice address
260 S MAIN ST, LODI, NJ 07644-2117
(732) 230-3076
(732) 230-3079
Mailing address
401 RIDGE RD STE 1, DAYTON, NJ 08810-3300
(732) 230-3076
(732) 230-3079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/31/2014
Last updated
04/29/2016
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