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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