Healthcare Provider Details

I. General information

NPI: 1427763978
Provider Name (Legal Business Name): MUHLENBERG PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 RANDLPH RD SUITE 105
PLAINEFIELD NJ
07060
US

IV. Provider business mailing address

1280 RANDLPH RD SUITE 105
PLAINEFIELD NJ
07060
US

V. Phone/Fax

Practice location:
  • Phone: 732-589-9987
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KINJALBAHEN D PATEL
Title or Position: DIRECTOR
Credential:
Phone: 732-589-9987