Provider Demographics
NPI:1194973917
Name:HOPE PHYSICAL THERAPY AND REHABILITATION SERVICE PC
Entity type:Organization
Organization Name:HOPE PHYSICAL THERAPY AND REHABILITATION SERVICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADENIYI
Authorized Official - Middle Name:OLUWADARE
Authorized Official - Last Name:AINA
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:862-772-3797
Mailing Address - Street 1:34 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3219
Mailing Address - Country:US
Mailing Address - Phone:862-881-3797
Mailing Address - Fax:862-722-3793
Practice Address - Street 1:34 UNION AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3219
Practice Address - Country:US
Practice Address - Phone:862-772-3797
Practice Address - Fax:862-722-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy