Organization
SHALOM THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHIBHA GOTTUMUKKALA (PHYSICAL THERAPIST)
(732) 609-7155
Entity
Organization
Contact information
Practice address
2245 US HIGHWAY 130 STE 105, DAYTON, NJ 08810-2420
(732) 609-7155
Mailing address
2245 US HIGHWAY 130 STE 105, DAYTON, NJ 08810-2420
(732) 609-7155
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01534600
NJ
Other
Enumeration date
12/04/2015
Last updated
03/25/2025
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