Organization Name: | HOLISTIC MANUAL PHYSICAL THERAPY, PA |
NPI Number: | 1013249770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NACHUM LOSS (PRESIDENT/OWNER) |
Mailing Address: | 61 Grand Ave Englewood |
State: | NJ US |
Postal Code: | 076313572 |
Phone Number: | 2015682044 |
Fax Number: | 2015687455 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 04/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |