Organization
TLC FORTE PHYSICAL THERAPY & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CAYETANO (PRESIDENT)
(201) 936-1200
Entity
Organization
Contact information
Practice address
438 W SIDE AVE, JERSEY CITY, NJ 07304-1426
(201) 936-1200
Mailing address
438 W SIDE AVE, JERSEY CITY, NJ 07304-1426
(201) 936-1200
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01179100
NJ
Other
Enumeration date
03/01/2017
Last updated
04/06/2017
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