Organization
INTEGRATED PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JAY GIANNELLI P.T. (PHYSICAL THERAPIST/OWNER)
(201) 904-2051
Entity
Organization
Contact information
Practice address
860 WYCKOFF AVE, UNIT 1 NW, MAHWAH, NJ 07430-3186
(201) 904-2051
Mailing address
860 WYCKOFF AVE, UNIT 1 NW, MAHWAH, NJ 07430-3186
(201) 904-2051
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00288000
NJ
Other
Enumeration date
06/20/2014
Last updated
09/22/2014
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