Organization
EARTHLY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TWYNAM PT, DPT (OWNER, MEMBER)
(201) 366-2300
Entity
Organization
Contact information
Practice address
42 PARK ST., MONTCLAIR, NJ 07042
(201) 366-2300
Mailing address
8 PATERSON AVE, NUTLEY, NJ 07110
(201) 366-2300
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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