# LIBERATION FITNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberation Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467763664
- **Authorized official:** KEVIN BROWN C..P.T.,N.C (PRESIDENT)
- **Authorized official phone:** (856) 786-4875

## Contact information

- **Practice address:** 218 E 4TH ST, PALMYRA, NJ 08065-1506
- **Practice address phone:** (856) 786-4875
- **Mailing address:** 218 E 4TH ST, PALMYRA, NJ 08065-1506
- **Mailing address phone:** (856) 786-4875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010