Healthcare Provider Details
I. General information
NPI: 1295876795
Provider Name (Legal Business Name): PROFESSIONAL PHYSICAL THERAPY & REHABILITATION, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
650 TOWN BANK RD SUITE 203
NORTH CAPE MAY NJ
08204-4409
US
IV. Provider business mailing address
650 TOWN BANK RD SUITE 203
NORTH CAPE MAY NJ
08204-4409
US
V. Phone/Fax
- Phone: 609-884-9800
- Fax: 609-884-9807
- Phone: 609-884-9800
- Fax: 609-884-9807
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 40QA00413000 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
ROBERT
E.
POST
Title or Position: OWNER,PHYSICAL THERAPIST
Credential: PT, PHD
Phone: 609-884-9800