Organization
WILLE PHYSICAL THERAPY LLC
Active
Other names
Heritage Health and Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACI WILLE PT (OWNER/PRESIDENT)
(862) 266-0703
Entity
Organization
Contact information
Practice address
514 LAFAYETTE RD, SPARTA, NJ 07871-3494
(973) 940-0871
(973) 940-0872
Mailing address
514 LAFAYETTE RD, SPARTA, NJ 07871-3494
(973) 940-0871
(973) 940-0872
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00586800
NJ
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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