Healthcare Provider Details

I. General information

NPI: 1265697627
Provider Name (Legal Business Name): ONWARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 ANDALORO WAY
WESTVILLE NJ
08093-1639
US

IV. Provider business mailing address

37 ANDALORO WAY
WESTVILLE NJ
08093-1639
US

V. Phone/Fax

Practice location:
  • Phone: 856-686-9559
  • Fax:
Mailing address:
  • Phone: 856-686-9559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License NumberOC 00 3368L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberOC 003368L
License Number StatePA

VIII. Authorized Official

Name: MELISSA CAREY TOWNE
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 856-686-9559