Well in Montclair, LLC
NPI #1306507439 in Montclair, New Jersey
Provider Information
- NPI Number
- 1306507439
- Entity Type
- Organization
- Organization Name
- Well in Montclair, LLC
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Enumeration Date
- Dec 30, 2021
- Last Updated
- Dec 30, 2021
Practice Location
- Address
- 105 GROVE ST STE 17
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4053
- Phone
- (917) 375-4111
Authorized Official
- Name
- MS. CATHY LYNETTE STEPHENSON, MS, PT, MSW
- Title
- MEMBER
- Phone
- (917) 375-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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