Organization
FOUR 3 PERFORMANCE LABORATORY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A. BOTTINO JR. PT (OWNER)
(973) 794-6040
Entity
Organization
Contact information
Practice address
315 WOOTTON ST, UNITS I & J, BOONTON, NJ 07005
(201) 739-2039
Mailing address
315 WOOTTON ST, UNITS I & J, BOONTON, NJ 07005-1939
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
12/11/2021
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