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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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