Organization
BROADWAY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YALDAR TAHIR (ADMINISTRATOR)
(973) 652-8595
Entity
Organization
Contact information
Practice address
234 POMPTON RD, WAYNE, NJ 07470-2101
(973) 652-8595
Mailing address
714 BROADWAY, STE 2, PATERSON, NJ 07514-3402
(973) 652-8595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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