| Doctor Name: | IAN KORNBLUTH |
| NPI Number: | 1326199316 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 40QA00849800 |
| Business Practice Address: | 812 Silvia St Ewing, NJ - 086283239 |
| Business Phone Number: | 8004558982 |
| Business Fax Number: | 6096443817 |
| Mailing Address: | 812 Silvia St, EWING |
| State: | NJ |
| Postal Code: | 086283239 |
| Phone Number: | 6096513155 |
| Fax Number: | 6096443817 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00849800 |
| 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 |