Provider Demographics
NPI:1528641933
Name:SOYA PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:SOYA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOYA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:570-313-9438
Mailing Address - Street 1:227 LAUREL AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-1913
Mailing Address - Country:US
Mailing Address - Phone:570-313-9438
Mailing Address - Fax:212-223-0198
Practice Address - Street 1:227 LAUREL AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1913
Practice Address - Country:US
Practice Address - Phone:570-313-9438
Practice Address - Fax:212-223-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty