Provider Demographics
NPI:1740951938
Name:MOVEMENT THERAPY DPT LLC
Entity type:Organization
Organization Name:MOVEMENT THERAPY DPT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-313-4762
Mailing Address - Street 1:6 VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1922
Mailing Address - Country:US
Mailing Address - Phone:609-313-4762
Mailing Address - Fax:
Practice Address - Street 1:1120 WHITE HORSE RD STE 115
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2103
Practice Address - Country:US
Practice Address - Phone:609-313-4762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy