Provider Demographics
NPI:1124865753
Name:HANDS ON PHYSICAL THERAPY WHITING LLC
Entity type:Organization
Organization Name:HANDS ON PHYSICAL THERAPY WHITING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-691-9606
Mailing Address - Street 1:60 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-2921
Mailing Address - Country:US
Mailing Address - Phone:732-849-5195
Mailing Address - Fax:
Practice Address - Street 1:60 LACEY RD
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-2921
Practice Address - Country:US
Practice Address - Phone:732-849-5195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty