Provider Demographics
NPI:1003694761
Name:JOSEPH, TEENU CELINE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:TEENU
Middle Name:CELINE
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MARY AVE
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-1761
Mailing Address - Country:US
Mailing Address - Phone:732-882-4540
Mailing Address - Fax:
Practice Address - Street 1:194 US HIGHWAY 31
Practice Address - Street 2:SUITE 103A & 103B
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-788-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02212500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist