Organization
INDIVIDUAL PHYSICAL THERAPY AND WELLNESS LLC
Active
Other names
Individual Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R NEISWINTER PT, DPT (OWNER, PHYSICAL THERAPISY)
(516) 322-5468
Entity
Organization
Contact information
Practice address
644 VALLEY ROAD, GILLETTE, NJ 07933
(516) 322-5468
Mailing address
644 VALLEY RD, GILLETTE, NJ 07933-2012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
04/21/2021
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