Next Level Sports Physical Therapy, LLC
Clinic/Center, Physical Therapy in Woodcliff Lake, NJ. Organization (NPI-2).
NPI number1154875110
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1154875110
- Entity type
- Organization (NPI-2)
- Legal business name
- Next Level Sports Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2016
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 40QA00932 | NJ | Yes |
Practice location
123 BroadwayWoodcliff Lake, NJ 07677-8038
Phone 201-746-9966 · Fax 866-676-0079
Mailing address
123 BroadwayWoodcliff Lake, NJ 07677-8038
Phone 201-746-9966 · Fax 866-676-0079
Authorized official
Jerome Yoo
President/Owner
2017469966
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