Organization
VODIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILIJA BUBALO DPT (OWNER)
(917) 292-2447
Entity
Organization
Contact information
Practice address
254 SHERMAN AVE APT 2, JERSEY CITY, NJ 07307-1930
(917) 292-2447
Mailing address
92 BOORAEM AVE APT 2, JERSEY CITY, NJ 07307-2402
(917) 292-2447
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
05/06/2026
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