Revolutionary Physical Therapy Inc.
NPI #1578813994 in Little Ferry, New Jersey
Provider Information
- NPI Number
- 1578813994
- Entity Type
- Organization
- Organization Name
- Revolutionary Physical Therapy Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 12, 2012
- Last Updated
- Sep 12, 2012
Practice Location
- Address
- 60 GARDEN ST
- City
- Little Ferry
- State
- New Jersey
- ZIP Code
- 07643-1535
- Phone
- (201) 667-6971
Authorized Official
- Name
- DANIEL MERCADO
- Title
- OWNER/PRESIDENT
- Phone
- (201) 667-6971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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