FORM FUNCTIONAL HEALTH LLC

RIDGEWOOD, NJ
NPI1043999196
Entity TypeOrganization
Authorized ContactRAFFAELE LAGONIGRO
Owner
973-464-6356
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2023-07-17
Last Update Date2024-04-12
Business Address
FORM FUNCTIONAL HEALTH LLC
15 GODWIN AVE STE 1
RIDGEWOOD, NJ 07450-3739
Phone number: 973-841-4800
Mailing Address
FORM FUNCTIONAL HEALTH LLC
15 GODWIN AVE STE 1
RIDGEWOOD, NJ 07450-3739
Phone number: 973-841-4800
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