Provider Demographics
NPI:1447903455
Name:RESILIENTBODYPT PC
Entity type:Organization
Organization Name:RESILIENTBODYPT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMITROVA-FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-666-1012
Mailing Address - Street 1:7 LORI ST
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8636
Mailing Address - Country:US
Mailing Address - Phone:718-666-1012
Mailing Address - Fax:
Practice Address - Street 1:7 LORI ST
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-8636
Practice Address - Country:US
Practice Address - Phone:718-666-1012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy