Revive Orthopedics and Wellness LLC
NPI #1841046711 in Hawthorne, New Jersey
Provider Information
- NPI Number
- 1841046711
- Entity Type
- Organization
- Organization Name
- Revive Orthopedics and Wellness LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 571 LAFAYETTE AVE
- City
- Hawthorne
- State
- New Jersey
- ZIP Code
- 07506-2424
- Phone
- (973) 949-6553
Authorized Official
- Name
- AMANDA BOBENKO
- Title
- OFFICE MANAGER
- Phone
- (973) 949-6553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Chiropractor |
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