Provider Demographics
NPI:1376060731
Name:LITTLE BUTTERFLIES YOGA AND THERAPY, LLC.
Entity Type:Organization
Organization Name:LITTLE BUTTERFLIES YOGA AND THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:WARN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:646-294-7677
Mailing Address - Street 1:74 THROCKMORTON LN
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2524
Mailing Address - Country:US
Mailing Address - Phone:646-294-7677
Mailing Address - Fax:732-588-5622
Practice Address - Street 1:74 THROCKMORTON LN
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2524
Practice Address - Country:US
Practice Address - Phone:646-294-7677
Practice Address - Fax:732-588-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01056300225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty