Provider Demographics
NPI:1164996682
Name:ROMASH & CROWELL PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ROMASH & CROWELL PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CROWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:856-427-9311
Mailing Address - Street 1:76 E EUCLID AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2330
Mailing Address - Country:US
Mailing Address - Phone:856-427-9311
Mailing Address - Fax:
Practice Address - Street 1:76 E EUCLID AVE FL 1
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2330
Practice Address - Country:US
Practice Address - Phone:856-427-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy