Individual
DR. DENNIS WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
325 MAPLE AVE, RED BANK, NJ 07701-2104
(732) 741-1119
Mailing address
325 MAPLE AVE, RED BANK, NJ 07701-2104
(732) 741-1119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01863400
NJ
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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