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Organization
PROFORM PHYSICAL THERAPY LLC
Active
Organization
PROFORM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD JESUS SOMARRIBA PT (DOCTOR OF PHYSICAL THERAPY)
(561) 676-3565
Entity
Organization
Contact information
Practice address
1077 ROUTE 34 STE M, ABERDEEN, NJ 07747-2151
(732) 970-7882
(732) 970-7883
Mailing address
1077 ROUTE 34 STE M, ABERDEEN, NJ 07747-2151
(732) 970-7882
(732) 970-7883
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NJ
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
05/01/2013
Last updated
01/24/2023
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