Healthcare Provider Details

I. General information

NPI: 1942919287
Provider Name (Legal Business Name): VAANI PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 9TH ST
SECAUCUS NJ
07094-3029
US

IV. Provider business mailing address

714 9TH ST
SECAUCUS NJ
07094-3029
US

V. Phone/Fax

Practice location:
  • Phone: 201-770-7147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MANTHAN PATEL
Title or Position: OWNER
Credential:
Phone: 201-770-7147