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Organization
ACTIVE SPORT & SPINE THERAPY LLC
Active
Organization
ACTIVE SPORT & SPINE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH RAMANI DC (OWNER)
(201) 661-1417
Entity
Organization
Contact information
Practice address
275 PATERSON AVE STE 202, LITTLE FALLS, NJ 07424-1658
(201) 661-1417
(973) 475-8130
Mailing address
275 PATERSON AVE STE 202, LITTLE FALLS, NJ 07424-1658
(201) 661-1417
(973) 475-8130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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