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Organization
NATTY BANDASAK PHYSIO PERFORMANCE
Active
Organization
NATTY BANDASAK PHYSIO PERFORMANCE
Active
Other names
Myokinetix
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATTY BANDASAK DPT (OWNER)
(973) 370-0198
Entity
Organization
Contact information
Practice address
55 EAGLE ROCK AVE, EAST HANOVER, NJ 07936-3143
(973) 397-5868
Mailing address
220 W JERSEY ST APT 5F, ELIZABETH, NJ 07202-1319
(973) 379-0198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
12/24/2024
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