Healthcare Provider Details

I. General information

NPI: 1750104287
Provider Name (Legal Business Name): INNER STRENGTH PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 TENNEY AVE
RIVER EDGE NJ
07661-2224
US

IV. Provider business mailing address

183 TENNEY AVE
RIVER EDGE NJ
07661-2224
US

V. Phone/Fax

Practice location:
  • Phone: 917-612-4964
  • Fax:
Mailing address:
  • Phone: 917-612-4964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA VILLARINI
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: PT
Phone: 917-612-4964