Organization
INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER INC
Active
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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