Provider Demographics
NPI:1417589227
Name:MOVEMENT AND FLOW PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MOVEMENT AND FLOW PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-569-6683
Mailing Address - Street 1:150 COUNTY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1847
Mailing Address - Country:US
Mailing Address - Phone:201-569-6683
Mailing Address - Fax:201-569-6685
Practice Address - Street 1:150 COUNTY RD STE 1
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1847
Practice Address - Country:US
Practice Address - Phone:201-569-6683
Practice Address - Fax:201-569-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty