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NPI Code Detail

MEDICARE: DIMENSIONS OF WELLNESS, INC.

MEDICARE: DIMENSIONS OF WELLNESS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterQA02977NJ

General Provider Information

NPI Number : 1205044393
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIMENSIONS OF WELLNESS, INC.
Provider Business Mailing Address
First Line : PO BOX 344
Second Line :
City : MIDDLETOWN
State : NJ
Zip : 07748-0344
Country : US
Telephone Number : 732-706-5216
Fax Number : 732-706-5217
Provider Business Practice Location Address
First Line : 71 LAGUNA HILLS CT
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-2554
Country : US
Telephone Number : 732-706-5216
Fax Number : 732-706-5217
Authorized Official
Title or Position : PRESIDENT
Name : MRS. REGINA ROSENTHAL
Credential : P.T.
Telephone Number : 732-706-5216
Provider Enumeration Date : 05/20/2007
Last Update Date : 08/22/2020

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Directions to “DIMENSIONS OF WELLNESS, INC. ” Practice Location

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