Organization · NPI-2

Coastal Physical Therapy Center LLC

Internal Medicine · Ewing, NJ

NPI number1437480266
StatusActive
Last updated in NPPESMay 1, 2025

Details

NPI
1437480266
Entity type
Organization (NPI-2)
Legal business name
Coastal Physical Therapy Center LLC
Organization subpart
No
Enumeration date
Jan 19, 2010
Certification date
May 1, 2025
Last updated
May 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––

Practice location

795 Parkway Ave Unit 2
Ewing, NJ 08618-2704

Phone 862-781-3500 · Fax 732-863-1707

Mailing address

795 Parkway Ave Ste A2
Ewing, NJ 08618-2704

Phone 862-781-3500 · Fax 862-781-3501

Authorized official

Abisoye Olawale Ariyo
Owner
8627813500

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