Organization
IGNITE PHYSICAL THERAPY & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIMOUN HANNA (MANAGER)
(732) 586-6693
Entity
Organization
Contact information
Practice address
665 BROADWAY, BAYONNE, NJ 07002-4710
(732) 586-6693
Mailing address
665 BROADWAY, BAYONNE, NJ 07002-4710
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01366000
NJ
Other
Enumeration date
04/17/2013
Last updated
07/10/2013
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