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Organization

IMPERIAL VISTA CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUCHETA A SATHE B.S., LMT (DIRECTOR OF OPERATIONS)
(732) 213-1343
Entity
Organization

Contact information

Practice address
401 RIDGE RD, SUITE 1, DAYTON, NJ 08810-3300
(732) 543-8798
(732) 230-3079
Mailing address
401 RIDGE RD, SUITE 1, DAYTON, NJ 08810-3300
(732) 543-8798
(732) 230-3079

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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