NATTY BANDASAK PHYSIO PERFORMANCE

ROSELAND, NJ
NPI1770072142
Entity TypeOrganization
Authorized ContactNATTY BANDASAK
Owner
973-370-0198
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-05-01
Last Update Date2018-05-01
Business Address
NATTY BANDASAK PHYSIO PERFORMANCE
16 EISENHOWER PKWY
ROSELAND, NJ 07068-1608
Phone number: 973-370-0198
Mailing Address
NATTY BANDASAK PHYSIO PERFORMANCE
220 W JERSEY ST APT 5F
ELIZABETH, NJ 07202-1319
Phone number: 973-379-0198
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