# JEEVAM THERAPY

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

## Provider details

- **NPI number:** 1982953071
- **Authorized official:** EVA MOHANTY MSPT., DPT.. (PRESIDENT/OWNER)
- **Authorized official phone:** (732) 910-3995

## Contact information

- **Practice address:** 608 MERRYWOOD DR., EDISON, NJ 08817-2535
- **Practice address phone:** (732) 910-3995
- **Mailing address:** 608 MERRYWOOD DR., EDISON, NJ 08817-2535
- **Mailing address phone:** (732) 910-3995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01061600 | NJ | Yes |

## Other

- **Enumeration date:** 09/05/2012
- **Last updated:** 03/14/2017