Organization
KATRIEL REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIBHA GOTTUMUKKALA RPT (PHYSICAL THERAPIST)
(732) 609-7155
Entity
Organization
Contact information
Practice address
1374 WHITEHORSE HAMILTON SQUARE RD, SUITE 301, HAMILTON, NJ 08690-3701
(732) 609-7155
Mailing address
1374 WHITEHORSE HAMILTON SQUARE RD, SUITE 301, HAMILTON, NJ 08690-3701
(732) 609-7155
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01534600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124385901
NPI
—
Enumeration date
04/27/2015
Last updated
10/19/2015
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