# BCN PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1407017353
- **Authorized official:** DR. WILLIAM JOSEPH ROMAN PH.D., PT (OWNER)
- **Authorized official phone:** (908) 797-2888

## Contact information

- **Practice address:** 12 HOLMES ST, MILLBURN, NJ 07041-1602
- **Practice address phone:** (908) 797-2888
- **Practice address fax:** (973) 379-7783
- **Mailing address:** 12 HOLMES ST, MILLBURN, NJ 07041-1602
- **Mailing address phone:** (908) 797-2888
- **Mailing address fax:** (973) 379-7783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | QA06268 | NJ | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 12/08/2014