Provider Demographics
NPI:1801143383
Name:SOL, ROUEL RAMOS (PT)
Entity type:Individual
Prefix:
First Name:ROUEL
Middle Name:RAMOS
Last Name:SOL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 EAGLE AVENUE
Mailing Address - Street 2:SEAVIEW ORTHOPEDICS
Mailing Address - City:OCEAN TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07712
Mailing Address - Country:US
Mailing Address - Phone:732-660-6200
Mailing Address - Fax:
Practice Address - Street 1:1200 EAGLE AVENUE
Practice Address - Street 2:SEAVIEW ORTHOPEDICS
Practice Address - City:OCEAN TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07712
Practice Address - Country:US
Practice Address - Phone:732-660-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01423100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist