Healthcare Provider Details

I. General information

NPI: 1497224547
Provider Name (Legal Business Name): SANAM HEMRAJANI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 11/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 ROUTE 9 N
FREEHOLD NJ
07728-8503
US

IV. Provider business mailing address

3333 ROUTE 9 N
FREEHOLD NJ
07728-8503
US

V. Phone/Fax

Practice location:
  • Phone: 732-665-6334
  • Fax: 732-637-8933
Mailing address:
  • Phone: 732-665-6334
  • Fax: 732-637-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01807300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: