# RARITAN PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578804605
- **Authorized official:** JOSEPH SIMON PT (OWNER)
- **Authorized official phone:** (866) 871-6229

## Contact information

- **Practice address:** 16 CAMPUS DR, EDISON, NJ 08837-3911
- **Practice address phone:** (866) 871-6229
- **Practice address fax:** (888) 739-5830
- **Mailing address:** 16 CAMPUS DR, EDISON, NJ 08837-3911
- **Mailing address phone:** (866) 871-6229
- **Mailing address fax:** (888) 739-5830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 40QA01445800 | NJ | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013