| Organization Name: | HEALTH FUSION WELLNESS LLC |
| NPI Number: | 1407272453 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL WALTER DIMARCO (OWNER) |
| Mailing Address: | 55 Schanck Rd Suite A-4 Freehold |
| State: | NJ US |
| Postal Code: | 077282964 |
| Phone Number: | 7326656334 |
| Fax Number: | 7326832477 |
| NPI Enumeration Date: | 03/14/2014 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01539300 |
| 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 |