Provere Physical Therapy - East Hanover

NPI #1568910206 in East Hanover, New Jersey

Provider Information

NPI Number: 1568910206
Entity Type: Organization
Organization Name: Provere Physical Therapy - East Hanover
Primary Specialty: Physical Therapist
Enumeration Date: Sep 12, 2016
Last Updated: Sep 12, 2016

Practice Location

Address: 50 WILLIAMS PKWY
Address 2: UNIT D
City: East Hanover
State: New Jersey
ZIP Code: 07936-2114
Phone: (973) 233-7148

Authorized Official

Name: CEDRIC HADDAD, PT, DPT, CSCS
Title: CO-OWNER
Phone: (732) 221-7617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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