Provider Demographics
NPI:1710192406
Name:TRANQUILITY PHYSICAL THERAPY & ACUPUNCTURE
Entity Type:Organization
Organization Name:TRANQUILITY PHYSICAL THERAPY & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LETTIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-650-6165
Mailing Address - Street 1:134 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5903
Mailing Address - Country:US
Mailing Address - Phone:201-650-6165
Mailing Address - Fax:973-540-9003
Practice Address - Street 1:134 JAMES ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5903
Practice Address - Country:US
Practice Address - Phone:201-650-6165
Practice Address - Fax:973-540-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00296000261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty