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Organization
BERGEN PHYSICAL THERAPY, LLC
Active
Organization
BERGEN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO GLAVICIC DC (OWNER)
(201) 947-7805
Entity
Organization
Contact information
Practice address
520 MAIN ST, FORT LEE, NJ 07024-4501
(201) 947-7805
(201) 947-7806
Mailing address
520 MAIN ST, FORT LEE, NJ 07024-4501
(201) 947-7805
(201) 947-7806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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