Graduated: 2010
NPI: 1164729380
Practice Locations (2)
THERAPHYSICAL LLC
623 RIDGE RD
LYNDHURST, NJ 070713205
2013404656
THERAPHYSICAL LLC
259 PATERSON AVE, UNIT 4
WALLINGTON, NJ 070571920
2013404656
Source: CMS National Downloadable File, September 2026.