# FYZICAL THERAPY & BALANCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184150682
- **Authorized official:** MS. KALPANA IYER (MEMBER)
- **Authorized official phone:** (732) 382-7288

## Contact information

- **Practice address:** 132-1 WESTFIELD AVE, CLARK, NJ 07066
- **Practice address phone:** (732) 382-7288
- **Practice address fax:** (732) 382-7228
- **Mailing address:** 138 WESTFIELD AVE, CLARK, NJ 07066-2454
- **Mailing address phone:** (732) 382-7288
- **Mailing address fax:** (732) 382-7228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA00667200 | NJ | Yes |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 05/04/2017
