Healthcare Provider Details

I. General information

NPI: 1538090915
Provider Name (Legal Business Name): TRAUMADELIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 CEDAR HEIGHTS DR
CEDAR FALLS IA
50613-6041
US

IV. Provider business mailing address

3301 CEDAR HEIGHTS DR
CEDAR FALLS IA
50613-6041
US

V. Phone/Fax

Practice location:
  • Phone: 732-947-2386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: UMAR CHOHAN
Title or Position: OWNER
Credential:
Phone: 732-947-2386