Provider Demographics
NPI:1033592670
Name:ALL AMERICAN THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:ALL AMERICAN THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEENA
Authorized Official - Middle Name:ANIL
Authorized Official - Last Name:BHAVNANI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:732-656-2791
Mailing Address - Street 1:PO BOX 7445
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-7445
Mailing Address - Country:US
Mailing Address - Phone:609-581-6622
Mailing Address - Fax:
Practice Address - Street 1:100 LAKEVIEW DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:JAMESBURG
Practice Address - State:NJ
Practice Address - Zip Code:08831-2600
Practice Address - Country:US
Practice Address - Phone:609-581-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL AMERICAN HEALTHCARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X, 225X00000X, 235Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty