Organization
TRIDENT AT HOME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHAVESH D MISTRY PT (OWNER)
(908) 565-1037
Entity
Organization
Contact information
Practice address
5 E FRANCIS AVE, MORGANVILLE, NJ 07751-1227
(908) 565-1037
Mailing address
PO BOX 22, MORGANVILLE, NJ 07751-0022
(908) 565-1037
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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