Provider Demographics
NPI:1225004013
Name:SENTMAN, ROBERT GLENN (PT, OCS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GLENN
Last Name:SENTMAN
Suffix:
Gender:M
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 914
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-0914
Mailing Address - Country:US
Mailing Address - Phone:609-284-0102
Mailing Address - Fax:
Practice Address - Street 1:1934 BURLINGTON - MOUNT HOLLY ROAD
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-4410
Practice Address - Country:US
Practice Address - Phone:609-261-2600
Practice Address - Fax:609-261-9659
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00551300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist