Organization Name: | COLACURCIO WELLNESS LLC |
NPI Number: | 1063833283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE VINCENT COLACURCIO (OWNER/PRESIDENT) |
Mailing Address: | 85 Bloomfield Ave Caldwell |
State: | NJ US |
Postal Code: | 070065311 |
Phone Number: | 9732282481 |
Fax Number: | 9732285091 |
NPI Enumeration Date: | 12/16/2013 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01411800 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |