Provere Physical Therapy - Paramus LLC

NPI #1962925412 in Paramus, New Jersey

Provider Information

NPI Number
1962925412
Entity Type
Organization
Organization Name
Provere Physical Therapy - Paramus LLC
Primary Specialty
Physical Therapist - Sports
Enumeration Date
Jul 17, 2017
Last Updated
Jul 17, 2017

Practice Location

Address
407 SETTE DR BLDG E
ZIP Code
07652-2940
Phone
(201) 538-7131

Authorized Official

Name
CEDRIC HADDAD
Title
CO-OWNER
Phone
(201) 538-7131

Specialties & Taxonomy Codes

Specialty
Physical Therapist - SportsSports

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