Organization
WILLE PHYSICAL THERAPY LLC
Active
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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