Organization
SOMA VITA PHYSIO & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA DIMITRAKAKIS (PHYSICAL THERAPIST / OWNER)
(516) 591-5544
Entity
Organization
Contact information
Practice address
775 MOUNTAIN BLVD STE 108, WATCHUNG, NJ 07069-6262
(516) 591-5544
Mailing address
153 OLD STIRLING RD, WARREN, NJ 07059-5829
(516) 591-5544
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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