| Organization Name: | BRIAN HOMAN, PT |
| NPI Number: | 1639426141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN KEITH HOMAN (OWNER) |
| Mailing Address: | 76 Pelican Pl West Deptford |
| State: | NJ US |
| Postal Code: | 080862242 |
| Phone Number: | 8563454830 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 40QA00274100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |