OrganizationActive
Provere Physical Therapy - Paramus LLC
NPI 1962925412 · Sports Physical Therapist · Paramus, NJ
Provider details
- NPI number
- 1962925412
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Cedric Haddad, Co-Owner(201) 538-7131
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
407 Sette Dr Bldg E
Paramus, NJ 07652-2940
Phone: (201) 538-7131
Fax: (201) 538-7131
Approximate (ZIP-level) locationGet directions
Mailing address
637 Wyckoff Ave Pmb 361
Wyckoff, NJ 07481-1438
Registry dates
- Enumerated
- 2017-07-17
- Last updated
- 2017-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.