Provider Demographics
NPI:1861138364
Name:RANGE OF MOTION & PELVIC PHYSICAL THERAPY
Entity type:Organization
Organization Name:RANGE OF MOTION & PELVIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:URVIBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-257-0900
Mailing Address - Street 1:620 CRANBURY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4000
Mailing Address - Country:US
Mailing Address - Phone:732-257-0900
Mailing Address - Fax:732-257-5099
Practice Address - Street 1:620 CRANBURY RD STE 201
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4000
Practice Address - Country:US
Practice Address - Phone:732-257-0900
Practice Address - Fax:732-257-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-08
Last Update Date:2022-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty