MEDICARE: INDUSTRIAL STRENGTH FITNESS PHYSICAL THERAPY 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1427766799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDUSTRIAL STRENGTH FITNESS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	582 32ND ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2434
Country	:	US
Telephone Number	:	201-601-0303
Fax Number	:	201-601-8040

Provider Business Practice Location Address
First Line	:	582 32ND ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2434
Country	:	US
Telephone Number	:	201-601-0303
Fax Number	:	201-601-8040

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	YADIRA E RAMOS
Credential	:
Telephone Number	:	201-667-9172

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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