Organization
MINDFUL MOVEMENT PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FERRUZZA DPT (PRESIDENT)
(516) 314-0959
Entity
Organization
Contact information
Practice address
1376 POMPTON AVE, CEDAR GROVE, NJ 07009-1011
(516) 314-0959
Mailing address
1376 POMPTON AVE, CEDAR GROVE, NJ 07009-1011
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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