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Organization
TAWIL PHYSICAL THERAPY AND SPORTS PERFORMANCE, PA
Active
Organization
TAWIL PHYSICAL THERAPY AND SPORTS PERFORMANCE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE TAWIL DPT (PRESIDENT/OWNER)
(201) 394-9004
Entity
Organization
Contact information
Practice address
8701 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4387
(201) 552-9072
(201) 552-9073
Mailing address
8701 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4387
(201) 552-9072
(201) 552-9073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00985500
NJ
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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