Organization
HOME BASE PHYSICAL THERAPY LLC
Active
Organization
HOME BASE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DILELLA PT (PHYSICAL THERAPIST)
(609) 706-9964
Entity
Organization
Contact information
Practice address
15 WISTERIA TER, MORRISTOWN, NJ 07960-3735
(609) 706-9964
Mailing address
15 WISTERIA TER, MORRISTOWN, NJ 07960-3735
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01192300
NJ
Other
Enumeration date
08/03/2015
Last updated
09/01/2016
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