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Organization
ISLAND BODY WORKS LLC
Active
Organization
ISLAND BODY WORKS LLC
Active
Other names
The P.T. Center for Pelvic Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ZIMMER TRUNZO P.T. (OWNER)
(716) 773-3300
Entity
Organization
Contact information
Practice address
2423 GRAND ISLAND BLVD., GRAND ISLAND, NY 14072-2967
(716) 773-3300
(716) 773-3303
Mailing address
2423 GRAND ISLAND BLVD., GRAND ISLAND, NY 14072-2967
(716) 773-3300
(716) 773-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013305-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04956254
—
NY
Enumeration date
03/22/2018
Last updated
12/03/2018
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