Provider Demographics
NPI:1326226069
Name:PALGI-BORNSTEIN, KEREN (DPT)
Entity Type:Individual
Prefix:DR
First Name:KEREN
Middle Name:
Last Name:PALGI-BORNSTEIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1174
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:391 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1174
Practice Address - Country:US
Practice Address - Phone:908-898-1950
Practice Address - Fax:908-898-1960
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01252700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist