Provider Demographics
NPI:1194913087
Name:URBANO, RAJAWEN (PT)
Entity type:Individual
Prefix:
First Name:RAJAWEN
Middle Name:
Last Name:URBANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RAJAWEN
Other - Middle Name:
Other - Last Name:SORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:38 SENNA DR
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2511
Mailing Address - Country:US
Mailing Address - Phone:732-432-0037
Mailing Address - Fax:732-432-0037
Practice Address - Street 1:38 SENNA DR
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2511
Practice Address - Country:US
Practice Address - Phone:732-432-0037
Practice Address - Fax:732-432-0037
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00898200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist