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NPI Code Detail

MEDICARE: SPORTIKA PARABOLIC, LLC

MEDICARE: SPORTIKA PARABOLIC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1447791314
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPORTIKA PARABOLIC, LLC
Provider Business Mailing Address
First Line : 150 WOODWARD ROAD
Second Line :
City : MANALAPAN
State : NJ
Zip : 08260
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15 BLOOMFIELD AVE
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-4888
Country : US
Telephone Number : 973-744-2770
Fax Number :
Authorized Official
Title or Position : OWNER
Name : STEVEN FROHLICH
Credential :
Telephone Number : 973-744-2770
Provider Enumeration Date : 03/13/2017
Last Update Date : 03/13/2017

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Directions to “SPORTIKA PARABOLIC, LLC ” Practice Location

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