Healthcare Provider Details

I. General information

NPI: 1356524912
Provider Name (Legal Business Name): WASHINGTON TOWNSHIP CORF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KINGS WAY E STE B4-6
SEWELL NJ
08080-2237
US

IV. Provider business mailing address

100 KINGS WAY E STE B4-6
SEWELL NJ
08080-2237
US

V. Phone/Fax

Practice location:
  • Phone: 856-256-0007
  • Fax:
Mailing address:
  • Phone: 856-256-0007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MS. CHERYL KOBITHEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 856-424-2000