Organization
BODY AND FACE
Active
Organization
BODY AND FACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINH DANG (OWNER)
(408) 512-4762
Entity
Organization
Contact information
Practice address
35 S VAN BRUNT ST STE 6, ENGLEWOOD, NJ 07631-3746
(408) 512-4762
Mailing address
35 S VAN BRUNT ST STE 6, ENGLEWOOD, NJ 07631-3746
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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