| NPI | 1497562961 |
|---|---|
| Doing Business As | INNOVATIVE PHYSICAL THERAPY AND FITNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DENISE TAVARES Billing Manager 732-790-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |