Organization
BODY SHOP PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MIN DPT (CO-OWNER, FOUNDER, CEO)
(551) 999-3616
Entity
Organization
Contact information
Practice address
100 COMMERCE WAY UNIT C, HACKENSACK, NJ 07601-6307
(551) 999-3616
Mailing address
100 COMMERCE WAY, HACKENSACK, NJ 07601-6307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NN0400X
Neurology Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/19/2024
Last updated
12/04/2024
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