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General NPI Number Information
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NPI Number | 1558173104
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Entity Type | Organization
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Legal Business Name | INDIVIDUAL PHYSICAL THERAPY & WELLNESS II LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 565 HIGHWAY 35 STE 5
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City | RED BANK
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State | NJ
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Zip | 07701-5073
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Country | US
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Telephone | 732-236-0146
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Fax | 908-991-3761
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Provider Business Mailing Address
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Address Line | 2271 OLD FARM RD
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City | SCOTCH PLAINS
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State | NJ
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Zip | 07076-2113
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Country | US
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Telephone | 732-236-0146
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Fax | 908-991-3770
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Authorized Official
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Title or Position | CO-OWNER
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Name | KATHRYN NEISWINTER
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Credential | DPT
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Telephone | 732-236-0146
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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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