Provider Demographics
NPI:1386320737
Name:GODBOLE, ARAH CABANAS (DPT)
Entity type:Individual
Prefix:
First Name:ARAH
Middle Name:CABANAS
Last Name:GODBOLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:ARAH
Other - Middle Name:CABANAS
Other - Last Name:GODBOLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:455 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8274
Mailing Address - Country:US
Mailing Address - Phone:732-617-8090
Mailing Address - Fax:
Practice Address - Street 1:455 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8274
Practice Address - Country:US
Practice Address - Phone:732-617-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02179700261QP2000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy