Functional Physical Therapy Pc

NPI 1871688119 - Physical Therapist - 225100000X

NPI Details
NPI 1871688119
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BALA M BALA
Position OWNER
Phone (732) 369-3447
Fax (732) 369-3447
Practice Location
619 UNION AVE
BLDG2 UNIT3
MIDDLESEX NJ, 08846-1963, US
Phone (732) 369-3447
Fax (732) 369-3447
Business Location
619 UNION AVE
BLDG2 UNIT3
MIDDLESEX NJ, 08846-1963, US
Phone (732) 369-3447
Fax (732) 369-3447
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number QA00514400
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According to our database, Functional Physical Therapy Pc NPI is 1871688119, taxonomy code is 225100000X and license number is QA00514400, license state is located at New Jersey. Functional Physical Therapy Pc physically located at 619 Union Ave, Middlesex NJ, 08846-1963. NPI Number 1033115704 has the healthcare provider type.

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1871688119 NPI number is provided on an as is basis without warranty of any kind. 1871688119 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Physical Therapy Pc are for informational purposes only.