Origin LLC
NPI #1124691647 in Willingboro, New Jersey
Provider Information
- NPI Number
- 1124691647
- Entity Type
- Organization
- Organization Name
- Origin LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 22, 2021
- Last Updated
- Jul 22, 2021
Practice Location
- Address
- 14 GALLAWAY LN
- City
- Willingboro
- State
- New Jersey
- ZIP Code
- 08046-3226
- Phone
- (908) 494-5150
Authorized Official
- Name
- DR. LEEZ-BETINA PETIT, DC
- Title
- FOUNDER
- Phone
- (908) 494-5150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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