Inner Body Dynnamics
Clinic/Center, Physical Therapy in Bergenfield, NJ. Organization (NPI-2).
NPI number1376306100
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1376306100
- Entity type
- Organization (NPI-2)
- Legal business name
- Inner Body Dynnamics
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 4, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
155 N Washington AveBergenfield, NJ 07621-1742
Phone 917-355-7090
Mailing address
78 Amsterdam AveTeaneck, NJ 07666-3602
Phone 917-355-7090
Authorized official
Luca Prada
Owner
9173557090
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