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Organization

IPTA CLINICAL, LLC

Active
Other names
3 Dimensional Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JEANINE DOHERTY (OPERATIONS MANAGER)
(609) 257-3750
Entity
Organization

Contact information

Practice address
175 ROUTE 70, SUITE 19, MEDFORD, NJ 08055-2300
(609) 714-3378
(856) 583-6004
Mailing address
175 ROUTE 70, SUITE 19, MEDFORD, NJ 08055-2300
(609) 714-3378
(856) 583-6004

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/20/2011
Last updated
06/01/2021
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