Organization
RISE HOME THERAPY, LLC
Active
Other names
Brian Homan, PT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KEITH HOMAN SR. PT (MANAGER/OWNER)
(856) 345-4830
Entity
Organization
Contact information
Practice address
82 PELICAN PLACE, WEST DEPTFORD, NJ 08086
(856) 345-4830
(856) 853-0769
Mailing address
82 PELICAN PLACE, WEST DEPTFORD, NJ 08086
(856) 345-4830
(856) 853-0769
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
40QA00274100
NJ
Other
Enumeration date
08/14/2012
Last updated
02/26/2018
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