Organization
SPORT REHAB CHIRO P.C.
Active
Organization
SPORT REHAB CHIRO P.C.
Active
Other names
Sport Rehab Chiro P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEE DC (OWNER)
(201) 220-2245
Entity
Organization
Contact information
Practice address
204 TOM HUNTER RD, FORT LEE, NJ 07024-5302
(201) 220-2245
Mailing address
204 TOM HUNTER RD, FORT LEE, NJ 07024-5302
(201) 220-2245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450681085
IDENTIFICATION NUMBER
NJ
Enumeration date
10/11/2021
Last updated
01/03/2022
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