Organization
SILVER LAKE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN UMALI-DIZON PT,DPT (PT/CO-OWNER)
(973) 751-9230
Entity
Organization
Contact information
Practice address
140 BELMONT AVE, STE. 101, BELLEVILLE, NJ 07109-1018
(973) 751-9230
Mailing address
9-11 CUOZZO ST., FLOOR 1, BELLEVILLE, NJ 07109-1231
(916) 849-8761
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01114300
NJ
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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