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Organization

MINNELLA PHYSICAL THERAPY, LLC

Active
Other names
Inertia
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEWIS M MINNELLA PT, DPT (PHYSICAL THERAPIST)
(973) 919-4862
Entity
Organization

Contact information

Practice address
217 BUCHANAN AVE, EDGEWATER PARK, NJ 08010-2109
(973) 919-4862
(866) 699-1796
Mailing address
217 BUCHANAN AVE, EDGEWATER PARK, NJ 08010-2109
(973) 919-4862
(866) 699-1796

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01021500
NJ

Other

Enumeration date
02/25/2009
Last updated
02/25/2009
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