Organization
BACK TO WELLNESS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA L JOHN (OWNER)
(908) 469-4201
Entity
Organization
Contact information
Practice address
627 PENNSYLVANIA AVE, ELIZABETH, NJ 07201-1213
(908) 469-4201
(908) 469-4202
Mailing address
627 PENNSYLVANIA AVE, ELIZABETH, NJ 07201-1213
(908) 469-4201
(908) 469-4202
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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