Healthcare Provider Details

I. General information

NPI: 1144051533
Provider Name (Legal Business Name): PLATI HEALTH REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 PROSPECT AVE
WEST ORANGE NJ
07052-4109
US

IV. Provider business mailing address

PO BOX 655
LONG VALLEY NJ
07853-0655
US

V. Phone/Fax

Practice location:
  • Phone: 908-319-3493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KEREN MORGAN
Title or Position: PARTNER
Credential:
Phone: 908-319-3493