# INNER DYNAMICS PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1831575075
- **Authorized official:** HEATHER MCCONNELL (OFFICE MANAGER)
- **Authorized official phone:** (732) 508-9926

## Contact information

- **Practice address:** 1300 STATE ROUTE 35, PLAZA 2 SUITE 102, OCEAN, NJ 07712-3537
- **Practice address phone:** (732) 508-9926
- **Practice address fax:** (732) 508-9928
- **Mailing address:** 1300 STATE ROUTE 35, PLAZA 2 SUITE 102, OCEAN, NJ 07712-3537
- **Mailing address phone:** (732) 508-9926
- **Mailing address fax:** (732) 508-9928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 03/27/2024