Individual
DR. DOV IWANISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12 TAFT AVE, LAKEWOOD, NJ 08701-5664
(732) 367-7391
Mailing address
12 TAFT AVE, LAKEWOOD, NJ 08701-5664
(808) 563-4255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01382300
NJ
Other
Enumeration date
01/03/2011
Last updated
05/24/2023
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