Organization
CONVERGENT MOVEMENT AND PERFORMANCE LLC
Active
Organization
CONVERGENT MOVEMENT AND PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE KETSELMAN D.P.T. (OWNER PHYSICAL THERAPIST)
(908) 304-3620
Entity
Organization
Contact information
Practice address
1200 US HIGHWAY 22 EAST, SUITE 2000 UNIT W7, BRIDGEWATER, NJ 08807-2943
(908) 304-3620
Mailing address
726 ROUTE 202, SUITE 320 UNIT 200, BRIDGEWATER, NJ 08807-2737
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01566100
NJ
Other
Enumeration date
04/01/2017
Last updated
10/03/2019
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