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General NPI Number Information
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NPI Number | 1982188926
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Entity Type | Organization
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Legal Business Name | TORO PHYSICAL THERAPY AND PERFORMANCE TRAINING LLC
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Dates
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Enumeration Date | 09/15/2018
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 101 SUMMIT AVE
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5101
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Country | US
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Telephone | 856-237-7467
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Fax | 856-716-6525
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Provider Business Mailing Address
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Address Line | 101 SUMMIT AVE
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5101
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Country | US
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Telephone | 856-237-7467
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Fax | 856-716-6525
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Authorized Official
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Title or Position | CEO/PHYSICAL THERAPIST
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Name | MR. JOHN CARMEN IANNELLI JR.
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Credential | DPT, PT
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Telephone | 856-237-7467
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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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