| NPI | 1447941133 |
|---|---|
| Former Legal Business Name | GARDEN STATE PHYSICAL THERAPY AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | SUNNY THAKKAR Owner 267-271-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-06-30 |