Organization
BODYWORK SCIENCE INSTITUTE
Active
Parent organization
BODYWORK SCIENCE INSTITUTE
Other names
Bodywork Science
Organization subpart
Yes
Provider details
NPI number
Legal business name
BODYWORK SCIENCE INSTITUTE
Authorized official
ARDALAN FASSIH LMT, LAC (CHAIRMAN)
(610) 608-0959
Entity
Organization
Contact information
Practice address
485 DEVON PARK DR STE 114, WAYNE, PA 19087-1840
(610) 608-0959
(610) 269-4362
Mailing address
489 DEVON PARK DR STE 315, WAYNE, PA 19087-1809
(610) 608-0959
(610) 269-4362
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609209907
NPPES
PA
Enumeration date
02/27/2023
Last updated
02/27/2023
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