| Organization Name: | SPINE & ORTHOPAEDIC PHYSICAL THERAPY CENTER OF NEW JERSEY, PA |
| NPI Number: | 1063550085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK PREVITE (DIRECTOR) |
| Mailing Address: | 1130 Rt 202 S Building E Ste 2-4 Raritan |
| State: | NJ US |
| Postal Code: | 088691490 |
| Phone Number: | 9087259595 |
| Fax Number: | 9087259803 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 08/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |