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General NPI Number Information
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NPI Number | 1780343152
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Entity Type | Organization
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Legal Business Name | IRONBOUND PHYSICAL THERAPY & WELLNESS
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 280 ELM ST
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City | NEWARK
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State | NJ
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Zip | 07105-2604
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Country | US
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Telephone | 973-873-5450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1102
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-0102
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Country | US
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Telephone | 973-873-5450
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GRACE BRITO
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Credential |
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Telephone | 973-873-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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