Provider Demographics
NPI:1972662476
Name:RHEINBERGER, ARNO (ATC)
Entity type:Individual
Prefix:
First Name:ARNO
Middle Name:
Last Name:RHEINBERGER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 GEORGE ST
Mailing Address - Street 2:APT. 4D
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1012
Mailing Address - Country:US
Mailing Address - Phone:732-763-9780
Mailing Address - Fax:
Practice Address - Street 1:1 SCARLET KNIGHT WAY
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-8069
Practice Address - Country:US
Practice Address - Phone:732-921-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001173002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer