Organization
PROCORE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFFAELE LAGONIGRO DPT (PHYSICAL THERAPIST, OWNER)
(973) 464-6356
Entity
Organization
Contact information
Practice address
2651 ROUTE 10 EAST, MORRIS PLAINS, NJ 07950
(973) 464-6356
Mailing address
14 ALLISTER CT, LINCOLN PARK, NJ 07035-1760
(973) 464-6356
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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