Identity Physical Therapy LLC
NPI #1265297642 in Livingston, New Jersey
Provider Information
- NPI Number
- 1265297642
- Entity Type
- Organization
- Organization Name
- Identity Physical Therapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 15, 2024
- Last Updated
- Feb 15, 2024
Practice Location
- Address
- 593 S LIVINGSTON AVENUE
- City
- Livingston
- State
- New Jersey
- ZIP Code
- 07039-0703
- Phone
- (973) 577-5921
Authorized Official
- Name
- JOSEPH RUSZKOWSKI, DPT
- Title
- CEO
- Phone
- (973) 577-5921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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