PROVERE PHYSICAL THERAPY - SPARTA

SPARTA, NJ
NPI1700251089
Entity TypeOrganization
Authorized ContactCEDRIC HADDAD
Owner
732-221-7617
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00611400)
Enumeration Date2015-12-11
Last Update Date2015-12-11
Business Address
PROVERE PHYSICAL THERAPY - SPARTA
14 PARK LAKE RD
SPARTA, NJ 07871-3241
Phone number: 201-485-8971
Mailing Address
PROVERE PHYSICAL THERAPY - SPARTA
637 WYCKOFF AVE PMB 362
WYCKOFF, NJ 07481-1438
Phone number:
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