Provider Demographics
NPI:1922989052
Name:ALBISANI, RAWAN
Entity type:Individual
Prefix:
First Name:RAWAN
Middle Name:
Last Name:ALBISANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LONE STAR LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3877
Mailing Address - Country:US
Mailing Address - Phone:732-762-2916
Mailing Address - Fax:855-678-8887
Practice Address - Street 1:7 LONE STAR LN
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3877
Practice Address - Country:US
Practice Address - Phone:732-762-2916
Practice Address - Fax:855-678-8887
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02363200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty