Organization
ACADEMY PHYSICAL THERAPY & WELLNESS INC
Active
Organization
ACADEMY PHYSICAL THERAPY & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR STASHCHYSHYN MSPT (PRESIDENT)
(973) 449-1394
Entity
Organization
Contact information
Practice address
2200 ROUTE 10 WEST, SUITE 206, PARSIPPANY, NJ 07054-5304
(973) 449-1394
Mailing address
2200 ROUTE 10 WEST, SUITE 206, PARSIPPANY, NJ 07054-5304
(973) 449-1394
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01004600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275570723
NPI PERSONAL
NJ
Enumeration date
09/19/2007
Last updated
08/19/2010
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