| Doctor Name: | AVANTHI A RAO |
| NPI Number: | 1346206422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 40QA00402000 |
| Business Practice Address: | Aspen Post 300 A Campus Dr, Pemberton Research Farms Campus Mt. Holly, NJ - 08060 |
| Business Phone Number: | 6092613434 |
| Business Fax Number: | |
| Mailing Address: | 444 Landing St, LUMBERTON |
| State: | NJ |
| Postal Code: | 080484522 |
| Phone Number: | 6092612350 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA00402000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |