Provider Demographics
NPI:1699230714
Name:RINALDI, PAMELA (DPT)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:RINALDI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:YELLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:25 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3947
Mailing Address - Country:US
Mailing Address - Phone:732-598-2668
Mailing Address - Fax:
Practice Address - Street 1:440 ROUTE 130
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2787
Practice Address - Country:US
Practice Address - Phone:609-336-8633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-02
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40AQ01438300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist