Organization
INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE TAVARES (BILLING MANAGER)
(732) 317-4105
Entity
Organization
Contact information
Practice address
906 OAK TREE AVE, SOUTH PLAINFIELD, NJ 07080-5127
(732) 317-4105
Mailing address
PO BOX 11199, NEW BRUNSWICK, NJ 08906-1199
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/18/2022
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