Magna Vita Rehab and Wellness
NPI #1518679190 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1518679190
- Entity Type
- Organization
- Organization Name
- Magna Vita Rehab and Wellness
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 15, 2022
- Last Updated
- Jan 25, 2023
Practice Location
- Address
- 61 DAVIS AVE
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4116
- Phone
- (973) 566-4772
Authorized Official
- Name
- ROSLYN MANDRIQUE BATIANCILA, DPT
- Title
- MANAGING DIRECTOR
- Phone
- (973) 566-4772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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