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NPI Code Detail

MEDICARE: PARABOLIC WAYNE, LLC

MEDICARE: PARABOLIC WAYNE, 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1740754373
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARABOLIC WAYNE, LLC
Provider Business Mailing Address
First Line : 321 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 321 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2120
Country : US
Telephone Number : 973-744-2770
Fax Number :
Authorized Official
Title or Position : CEO
Name : STEVEN FROHLICH
Credential :
Telephone Number : 973-744-2770
Provider Enumeration Date : 01/16/2019
Last Update Date : 01/16/2019

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