Organization
BALANCED BODY REHABILITATION LLC
Active
Other names
Prime Orthopedic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAL H PORATH (OWNER)
(201) 503-7173
Entity
Organization
Contact information
Practice address
111 DEAN DR, TENAFLY, NJ 07670-2764
(201) 503-7173
(201) 503-7177
Mailing address
111 DEAN DR STE 1N, TENAFLY, NJ 07670-2762
(201) 503-7173
(201) 503-7177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
03/08/2024
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