Organization
BODY RESTORATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LUDOVICO (MSPT)
(856) 769-1100
Entity
Organization
Contact information
Practice address
26 N MAIN ST, WOODSTOWN, NJ 08098-1115
(856) 769-1100
Mailing address
26 N MAIN ST, WOODSTOWN, NJ 08098-1115
(856) 769-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00749600
NJ
261QP2000X
Physical Therapy Clinic/Center
PT005800L
PA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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