Organization
DIVINE SPINE PHYSICAL THERAPY AND YOGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTVI PATEL PT, MS,OCS (OWNER)
(847) 997-2787
Entity
Organization
Contact information
Practice address
7 CENTRE DR STE 9, MONROE, NJ 08831-1565
(908) 444-6055
Mailing address
10 PRINCETON AVE, COLONIA, NJ 07067-2812
(847) 997-2787
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01469300
NJ
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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