| Organization Name: | KIPNIS PHYSICAL THERAPY AND SPORTS MEDICINE |
| NPI Number: | 1235513987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEAM STRANG (EXECUTIVE DIRECTOR) |
| Mailing Address: | 150 Flanagan Way Secaucus |
| State: | NJ US |
| Postal Code: | 070943445 |
| Phone Number: | 2013190010 |
| Fax Number: | 2013193389 |
| NPI Enumeration Date: | 07/13/2015 |
| NPI Last Update Date: | 07/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 40QA01389100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |