Organization
INSTITUTE OF MANUAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PAVLINEC PT (PRESIDENT)
(732) 736-7007
Entity
Organization
Contact information
Practice address
780 RT 37 WEST, SUITE 210, TOMS RIVER, NJ 08755-5059
(732) 736-7007
(732) 736-7009
Mailing address
780 RT 37 WEST, SUITE 210, TOMS RIVER, NJ 08755-5059
(732) 736-7007
(732) 736-7009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA00730700
NJ
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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