SearchNew Jersey103TC1900X

Iman Sandberg, LAC

NPI 1861386914 · on the registry since 2025 · sole proprietor

Practice

Address
131 Madison Ave Apt B
Midland Park, NJ 07432
Phone
(201) 328-6275

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey