Organization
AVENEL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL F DILELLA M.S.P.T. (PHSYICAL THERAPIST/PRESIDENT)
(732) 636-7888
Entity
Organization
Contact information
Practice address
415 AVENEL ST, AVENEL, NJ 07001-1147
(732) 636-7888
(732) 636-7887
Mailing address
415 AVENEL ST, AVENEL, NJ 07001-1147
(732) 636-7888
(732) 636-7887
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01192300
NJ
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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