Organization Name: | PROHEALTH & FITNESS |
NPI Number: | 1629206289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES A NUSSBAUM (CLINICAL DIRECTOR) |
Mailing Address: | 11 Eardley Rd Edison |
State: | NJ US |
Postal Code: | 088173030 |
Phone Number: | 7327184761 |
Fax Number: | 8006553780 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA00851900 |
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 |