Healthcare Provider Details

I. General information

NPI: 1558440438
Provider Name (Legal Business Name): THE THERAPY CENTER AT WILSON TOWERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE THERAPY CENTER 41 WILSON AVENUE
NEWARK NJ
07105
US

IV. Provider business mailing address

41 WILSON AVENUE
NEWARK NJ
07105
US

V. Phone/Fax

Practice location:
  • Phone: 973-589-8300
  • Fax:
Mailing address:
  • Phone: 973-589-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNJ

VIII. Authorized Official

Name: ALDOU CINCO
Title or Position: REHAB DIRECTOR
Credential:
Phone: 973-589-8300