Organization
INNOVATIVE THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHMUEL SICKER (OWNER)
(732) 523-0531
Entity
Organization
Contact information
Practice address
746 PARK AVE, BASEMENT, LAKEWOOD, NJ 08701-2025
(732) 523-0531
Mailing address
746 PARK AVE, BASEMENT, LAKEWOOD, NJ 08701-2025
(732) 523-0531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
06/21/2021
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