Organization
INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER INC
Active
Organization
INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE TAVARES (BILLING MANAGER)
(732) 317-4105
Entity
Organization
Contact information
Practice address
259 TALMADGE RD, EDISON, NJ 08817-2833
(732) 853-8177
Mailing address
259 TALMADGE RD, EDISON, NJ 08817-2833
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
03/15/2022
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