Healthcare Provider Details

I. General information

NPI: 1336043421
Provider Name (Legal Business Name): E-THERAPY NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 PLAINSBORO RD STE 1050
PLAINSBORO NJ
08536-3044
US

IV. Provider business mailing address

666 PLAINSBORO RD STE 1050
PLAINSBORO NJ
08536-3044
US

V. Phone/Fax

Practice location:
  • Phone: 609-616-7745
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MANOJ DEB
Title or Position: ADMINISTRATOR
Credential:
Phone: 609-616-7745