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1164726394
DOV IWANISKI
LAKEWOOD, NJ
NPI
1164726394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01382300)
Enumeration Date
2011-01-03
Last Update Date
2023-05-24
Business Address
Dr. DOV IWANISKI DPT
12 TAFT AVE
LAKEWOOD, NJ 08701-5664
Phone number: 732-367-7391
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Mailing Address
Dr. DOV IWANISKI DPT
12 TAFT AVE
LAKEWOOD, NJ 08701-5664
Phone number: 808-563-4255
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