Provider Demographics
NPI:1720537517
Name:ALTERNATIVE THERAPY AND REHABILITATION P.C.
Entity type:Organization
Organization Name:ALTERNATIVE THERAPY AND REHABILITATION P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSYCAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAFOZOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-238-3800
Mailing Address - Street 1:35E ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-3319
Mailing Address - Country:US
Mailing Address - Phone:732-238-3800
Mailing Address - Fax:
Practice Address - Street 1:35 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-3319
Practice Address - Country:US
Practice Address - Phone:732-238-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01219500261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy