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Organization
PROFORM PHYSICAL THERAPY LLC
Active
Organization
PROFORM PHYSICAL THERAPY LLC
Active
Other names
ProFysio Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD SOMARRIBA PT (CO-OWNER)
(732) 970-7882
Entity
Organization
Contact information
Practice address
2665 HIGHWAY 516 STE 1314, OLD BRIDGE, NJ 08857-2300
(732) 970-7882
(732) 970-7883
Mailing address
2665 HIGHWAY 516, SUITE 13/14, OLD BRIDGE, NJ 08857-2300
(732) 970-7882
(732) 970-7883
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NJ
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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