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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