Organization
BODY MECHANIX REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J PETRIELLO III PT (PROVIDER)
(201) 230-5932
Entity
Organization
Contact information
Practice address
111 UNION AVENUE, RUTHERFORD, NJ 07073
(201) 347-9459
(201) 623-2584
Mailing address
560 HUDSON ST STE 301, HACKENSACK, NJ 07601-6655
(201) 641-2125
(212) 888-6024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701334000757001
—
NJ
Enumeration date
05/27/2022
Last updated
01/18/2023
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