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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
795 Parkway Ave Unit 2Ewing, NJ 08618-2704
Phone 862-781-3500 · Fax 732-863-1707
Mailing address
795 Parkway Ave Ste A2Ewing, NJ 08618-2704
Phone 862-781-3500 · Fax 862-781-3501
Authorized official
Abisoye Olawale Ariyo
Owner
8627813500
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