Revive Physical Therapy and Wellness Center

NPI #1609011493 in Edison, New Jersey

Provider Information

NPI Number: 1609011493
Entity Type: Organization
Organization Name: Revive Physical Therapy and Wellness Center
Primary Specialty: Physical Therapist
Enumeration Date: Dec 8, 2008
Last Updated: Dec 8, 2008

Practice Location

Address: 1941 OAK TREE RD STE 302
City: Edison
State: New Jersey
ZIP Code: 08820-2068
Phone: (732) 662-7927

Authorized Official

Name: DIANE SHIAO, DPT
Title: PT/OWNER/DIRECTOR
Phone: (732) 662-7927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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