Organization
RESURGENCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN GOODELL DPT (OWNER/PHYSICAL THERAPIST)
(585) 322-5434
Entity
Organization
Contact information
Practice address
561 BLOOMFIELD AVE, VERONA, NJ 07044-1818
(973) 744-6279
(973) 200-2252
Mailing address
30 FARRAND ST APT 530, BLOOMFIELD, NJ 07003-4439
(585) 322-5434
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
03/15/2022
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