FORM FUNCTIONAL HEALTH LLC

Clinic/Center - Physical Therapy

Active Organization
NPI: 1043999196

Practice Address

15 GODWIN AVE STE 1
Ridgewood, NJ 07450

Phone: (973) 841-4800

Specialties

Specialty Code Primary License
Clinic/Center - Physical Therapy 261QP2000X Yes -

Frequently Asked Questions

NPI 1043999196 is the National Provider Identifier for FORM FUNCTIONAL HEALTH LLC, a Clinic/Center - Physical Therapy provider located in Ridgewood, NJ. This NPI was enumerated on July 17, 2023.

Quick Facts

NPI
1043999196
Type
Organization
Enumerated
Jul 17, 2023
Last Updated
Apr 12, 2024

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