Organization
I&M PHYSICAL THERAPY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR VOLOSHIN DPT (PRESIDENT/PHYSICAL THERAPIST)
(718) 614-6191
Entity
Organization
Contact information
Practice address
41 CENTER ST STE 3, FREEHOLD, NJ 07728-2220
(732) 333-0062
(732) 333-0004
Mailing address
16 VALLEY FORGE LN, MORRIS PLAINS, NJ 07950-3416
(718) 614-6191
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01188300
NJ
261QP2000X
Physical Therapy Clinic/Center
40QA01268300
NJ
Other
Enumeration date
10/27/2007
Last updated
04/06/2009
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