Provider Demographics
NPI:1346308897
Name:HANDS-ON PLUS SPINE & ORTHOPEDIC PHYSICAL THERAPY
Entity Type:Organization
Organization Name:HANDS-ON PLUS SPINE & ORTHOPEDIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARELISA MARIE
Authorized Official - Middle Name:RAMOS
Authorized Official - Last Name:BERNARDO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-965-9552
Mailing Address - Street 1:452 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-6682
Mailing Address - Country:US
Mailing Address - Phone:609-965-9552
Mailing Address - Fax:
Practice Address - Street 1:714 W WHITE HORSE PIKE
Practice Address - Street 2:STE. B
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-3838
Practice Address - Country:US
Practice Address - Phone:609-952-9552
Practice Address - Fax:609-965-9553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2400252000OtherAMERIHEALTH
NJ2400252000OtherAMERIHEALTH