Healthcare Provider Details

I. General information

NPI: 1831572668
Provider Name (Legal Business Name): COMPREHENSIVE HEALTH PHYSICAL REHABILITATION AND CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 06/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 BRIDGE ST BLDG G
METUCHEN NJ
08840-2294
US

IV. Provider business mailing address

254 BRIDGE ST BLDG G
METUCHEN NJ
08840-2294
US

V. Phone/Fax

Practice location:
  • Phone: 732-243-9890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00476700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01408200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00035500
License Number StateNJ

VIII. Authorized Official

Name: MICHAEL CATALANELLO
Title or Position: CLINIC DIRECTOR
Credential:
Phone: 732-254-9890