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Organization
TRIFECTA THERAPEUTICS, LLC
Active
Organization
TRIFECTA THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BOYD PT, DPT, OCS, SCS (OWNER/CEO)
(856) 347-0333
Entity
Organization
Contact information
Practice address
107 ROWAN BLVD, GLASSBORO, NJ 08028-2203
(856) 347-0333
(856) 230-7164
Mailing address
75 VILLAGE GREEN LN, SICKLERVILLE, NJ 08081-1629
(917) 885-1760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01529700
NJ
2251S0007X
Sports Physical Therapist
Primary
40QA01529700
NJ
2251X0800X
Orthopedic Physical Therapist
40QA01529700
NJ
Other
Enumeration date
10/13/2017
Last updated
03/15/2021
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