Organization
CORNERSTONE PHYSICAL THERAPY HEALTH AND WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DE LA FUENTE PT, DPT, CSCS (PRESIDENT/PHYSICAL THERAPIST)
(732) 499-4540
Entity
Organization
Contact information
Practice address
77 BRANT AVE, SUITE 101, CLARK, NJ 07066-1560
(732) 499-4540
(732) 499-4577
Mailing address
77 BRANT AVE, SUITE 101, CLARK, NJ 07066-1560
(732) 499-4540
(732) 499-4577
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/25/2013
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