Provider Demographics
NPI:1124277926
Name:HANDS ON NJ PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:HANDS ON NJ PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:WAI-KONG
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-548-8068
Mailing Address - Street 1:210 BRIDGE ST
Mailing Address - Street 2:BRIDGE POINTE OFFICE COMPLEX, BLDG. D
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2290
Mailing Address - Country:US
Mailing Address - Phone:732-548-8068
Mailing Address - Fax:732-548-8069
Practice Address - Street 1:210 BRIDGE ST
Practice Address - Street 2:BRIDGE POINTE OFFICE COMPLEX, BLDG. D
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2290
Practice Address - Country:US
Practice Address - Phone:732-548-8068
Practice Address - Fax:732-548-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01161300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy