Organization
RESTORE TO WELLNESS PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA JOHN (VICE PRESIDENT)
(862) 368-2109
Entity
Organization
Contact information
Practice address
323 UNION AVE, RUTHERFORD, NJ 07070-1517
(862) 368-2109
Mailing address
627 PENNSYLVANIA AVE, ELIZABETH, NJ 07201-1213
(862) 368-2109
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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