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Organization
KBA PHYSIO REHAB LLC
Active
Organization
KBA PHYSIO REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLEJDJA BERDUFI PT (DIRECTOR/OWNER)
(201) 554-5415
Entity
Organization
Contact information
Practice address
60 OWENS DRIVE, INSIDE RETRO FITNESS GYM, WAYNE, NJ 07470-0747
(973) 988-5885
Mailing address
322 LIVINGSTON AVE, LYNDHURST, NJ 07071-2103
(201) 554-5415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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