# IBW PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1184493900
- **Authorized official:** DR. ILYZA BRIENNE WEISS PT, DPT, CERT. MDT (MANAGING MEMBER)
- **Authorized official phone:** (304) 685-4399

## Contact information

- **Practice address:** 631 WINDFLOWER CT, MORGANVILLE, NJ 07751-1772
- **Practice address phone:** (304) 685-4399
- **Mailing address:** 631 WINDFLOWER CT, MORGANVILLE, NJ 07751-1772
- **Mailing address phone:** (304) 685-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 12/20/2023