Doctor Name: | MR. KENNETH PAVLINEC |
NPI Number: | 1043382989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, CERT. MDT |
License Number: | QA007307 |
Business Practice Address: | 870 River Ave Lakewood, NJ - 087015220 |
Business Phone Number: | 7328869900 |
Business Fax Number: | 7328869948 |
Mailing Address: | 4 Scarlet Ln, HOWELL |
State: | NJ |
Postal Code: | 077312815 |
Phone Number: | 7328869900 |
Fax Number: | 7328869948 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA007307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |