Healthcare Provider Details

I. General information

NPI: 1922068337
Provider Name (Legal Business Name): MARLBORO PHYSICAL THERAPY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CAMPUS DR SUITE 102
MORGANVILLE NJ
07751-1282
US

IV. Provider business mailing address

100 CAMPUS DR SUITE 102
MORGANVILLE NJ
07751-1282
US

V. Phone/Fax

Practice location:
  • Phone: 732-591-9494
  • Fax: 732-591-8850
Mailing address:
  • Phone: 732-591-9494
  • Fax: 732-591-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MIRIAM FUHRMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-591-9494