Organization Name: | TOTAL BODY WELLNESS CENTER INC |
NPI Number: | 1154448579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY SHIERA (OWNER) |
Mailing Address: | 250 Old River Rd Edgewater |
State: | NJ US |
Postal Code: | 07020 |
Phone Number: | 2019454414 |
Fax Number: | 2019454412 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 03/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00520400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |