Bergen Physical Therapy, LLC

NPI #1013446954 in Fort Lee, New Jersey

Provider Information

NPI Number: 1013446954
Entity Type: Organization
Organization Name: Bergen Physical Therapy, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 5, 2017
Last Updated: Jun 5, 2017

Practice Location

Address: 520 MAIN ST
City: Fort Lee
State: New Jersey
ZIP Code: 07024-4501
Phone: (201) 947-7805

Authorized Official

Name: MARIO GLAVICIC, DC
Title: OWNER
Phone: (201) 947-7805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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