Healthcare Provider Details
I. General information
NPI: 1992407266
Provider Name (Legal Business Name): HANDA REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2023
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
997 RINGWOOD AVE
HASKELL NJ
07420-1351
US
IV. Provider business mailing address
10A JOHN F GOELLNER DR
RARITAN NJ
08869-1454
US
V. Phone/Fax
- Phone: 412-304-3108
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
AMAN
HANDA
Title or Position: OWNER
Credential:
Phone: 412-304-3108