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NPI 1053200162

NPI 1053200162 : RECOVER PHYSICAL THERAPY AND WELLNESS : LAUREL SPRINGS, NJ

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General NPI Number Information
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    NPI Number           |    1053200162
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    Entity Type          |    Organization 
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    Legal Business Name  |    RECOVER PHYSICAL THERAPY AND WELLNESS 
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Dates
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    Enumeration Date     |    07/02/2025
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    1405 CHEWS LANDING RD STE 32 
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    City                 |    LAUREL SPRINGS
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    State                |    NJ
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    Zip                  |    08021-2769
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    Country              |    US
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    Telephone            |    856-560-0047
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    Fax                  |    856-373-5040
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Provider Business Mailing Address
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    Address Line         |    1405 CHEWS LANDING RD STE 32 
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    City                 |    LAUREL SPRINGS
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    State                |    NJ
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    Zip                  |    08021-2769
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    Country              |    US
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    Telephone            |    856-560-0047
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    Fax                  |    856-373-5040
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     WILLIAM MICHAEL OGLETREE 
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    Credential           |    
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    Telephone            |    910-658-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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