Organization
CROWN THERAPISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN AIGBOGUN RPT (PRESIDENT)
(609) 463-9553
Entity
Organization
Contact information
Practice address
1 VILLAGE DR, CAPE MAY COURT HOUSE, NJ 08210-1939
(609) 463-8107
(609) 463-9540
Mailing address
1 VILLAGE DR, PO BOX 874, CAPE MAY COURT HOUSE, NJ 08210-1939
(609) 463-8107
(609) 463-9540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00466300
NJ
225X00000X
Occupational Therapist
46TR00220900
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
NONE
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602584
AMERIHEALTH GRP #
NJ
01
—
58001
CIGNA GRP #
NJ
01
—
DD2634
RAILROAD MEDICARE GRP #
NJ
Enumeration date
05/25/2006
Last updated
10/05/2011
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