Healthcare Provider Details
I. General information
NPI: 1528673720
Provider Name (Legal Business Name): ZOOZ WELLNESS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12 BRIARCLIFF CT
MAPLEWOOD NJ
07040-1401
US
IV. Provider business mailing address
12 BRIARCLIFF CT
MAPLEWOOD NJ
07040-1401
US
V. Phone/Fax
- Phone: 609-712-1522
- Fax:
- Phone: 609-712-1522
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
YIGAL
BRAUN
Title or Position: OWNER
Credential: PT, DPT
Phone: 609-712-1522