Provider Demographics
NPI:1073789202
Name:CELEBRE, JOSEPH VICTOR (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:VICTOR
Last Name:CELEBRE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 MORRIS AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6043
Mailing Address - Country:US
Mailing Address - Phone:908-687-3000
Mailing Address - Fax:
Practice Address - Street 1:469 MORRIS AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1967
Practice Address - Country:US
Practice Address - Phone:908-351-6060
Practice Address - Fax:908-351-5330
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00799100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist