Organization
REJUVENATIVE WELLNESS LLC
Active
Other names
Ishitani Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER MITCHELL DC (OWNER)
(917) 690-4730
Entity
Organization
Contact information
Practice address
1600 PARKER AVE STE 1, FORT LEE, NJ 07024-7050
(201) 302-9993
(201) 302-9994
Mailing address
117 MORNINGSIDE LANE, UNIT A, PALISADES PARK, NJ 07650
(917) 690-4730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
04/26/2025
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