Provider Demographics
NPI:1073089553
Name:RELIANT CARE PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:RELIANT CARE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEEPA
Authorized Official - Middle Name:R
Authorized Official - Last Name:OZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:908-565-4666
Mailing Address - Street 1:756 BARRON AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-3207
Mailing Address - Country:US
Mailing Address - Phone:908-565-4666
Mailing Address - Fax:
Practice Address - Street 1:5 CODDINGTON AVE STE 104
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4305
Practice Address - Country:US
Practice Address - Phone:718-351-1350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty