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Organization
IBW PHYSICAL THERAPY LLC
Active
Organization
IBW PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYZA BRIENNE WEISS PT, DPT, CERT. MDT (MANAGING MEMBER)
(304) 685-4399
Entity
Organization
Contact information
Practice address
631 WINDFLOWER CT, MORGANVILLE, NJ 07751-1772
(304) 685-4399
Mailing address
631 WINDFLOWER CT, MORGANVILLE, NJ 07751-1772
(304) 685-4399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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