Organization
REJUVENATIVE WELLNESS LLC
Active
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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