Organization
TRINITAS CHILDREN'S THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WILLIAM NELSON OTR, MANAGER (MANAGER)
(973) 218-6394
Entity
Organization
Contact information
Practice address
899 MOUNTAIN AVENUE, SUITE 1A, SPRINGFIELD, NJ 07081
(973) 218-6394
(973) 218-6351
Mailing address
899 MOUNTAIN AVENUE, SUITE 1A, SPRINGFIELD, NJ 07081
(973) 218-6394
(973) 218-6351
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
QA009795
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00292210
NJ
235Z00000X
Speech-Language Pathologist
41YS00609200
NJ
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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