Provider Demographics
NPI:1831844794
Name:SOL9 PHYSICAL THERAPY AND REHAB
Entity type:Organization
Organization Name:SOL9 PHYSICAL THERAPY AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:UTUK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:609-505-1774
Mailing Address - Street 1:1905 CINNAMINSON AVE
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-2818
Mailing Address - Country:US
Mailing Address - Phone:609-248-0844
Mailing Address - Fax:609-248-0844
Practice Address - Street 1:1905 CINNAMINSON AVE
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-2818
Practice Address - Country:US
Practice Address - Phone:609-248-0844
Practice Address - Fax:609-248-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy