Broadway Physical Therapy LLC

NPI #1619373594 in Wayne, New Jersey

Provider Information

NPI Number: 1619373594
Entity Type: Organization
Organization Name: Broadway Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 5, 2014
Last Updated: Nov 5, 2014

Practice Location

Address: 234 POMPTON RD
City: Wayne
State: New Jersey
ZIP Code: 07470-2101
Phone: (973) 652-8595

Authorized Official

Name: YALDAR TAHIR
Title: ADMINISTRATOR
Phone: (973) 652-8595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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