Provider Demographics
NPI:1215153689
Name:ABIS, ROZELLA (PT)
Entity type:Individual
Prefix:
First Name:ROZELLA
Middle Name:
Last Name:ABIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PERRINEVILLE RD STE 4
Mailing Address - Street 2:MONROE PHYSICAL THERAPY
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-4924
Mailing Address - Country:US
Mailing Address - Phone:609-409-8484
Mailing Address - Fax:609-409-8383
Practice Address - Street 1:1600 PERRINEVILLE RD STE 4
Practice Address - Street 2:MONROE PHYSICAL THERAPY
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-4924
Practice Address - Country:US
Practice Address - Phone:609-409-8484
Practice Address - Fax:609-409-8383
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA005994225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1528010915OtherNPI GROUP NUMBER
NJ064503Medicare ID - Type UnspecifiedMEDICARE GROUP #