| NPI | 1518679190 |
|---|---|
| Doing Business As | MAGNA VITA REHAB AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | ROSLYN MANDRIQUE BATIANCILA Managing Director 973-566-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-01-25 |