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Organization

ELITE SPORTS PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARON WENTWORTH DPT, MSPT (OWNER)
(732) 544-0011
Entity
Organization

Contact information

Practice address
1540 W PARK AVE, STE 4, TINTON FALLS, NJ 07712-3191
(732) 544-0011
(732) 544-1115
Mailing address
1540 W PARK AVE, STE 4, TINTON FALLS, NJ 07712-3191
(732) 544-0011
(732) 544-1115

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/08/2010
Last updated
03/13/2017
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