Organization
TALEM ACTIVE BODY AND SPINE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOGILAVAANI PILLAI DPT (PT/OWNER)
(848) 219-4123
Entity
Organization
Contact information
Practice address
61 WEXFORD DR, MONMOUTH JUNCTION, NJ 08852-2713
(848) 219-4123
Mailing address
61 WEXFORD DR, MONMOUTH JUNCTION, NJ 08852-2713
(848) 219-4123
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
02/22/2021
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