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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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