Provider Demographics
NPI:1477009322
Name:S & H REHABILITATION ASSOC
Entity Type:Organization
Organization Name:S & H REHABILITATION ASSOC
Other - Org Name:INTEGRITY PHYSICAL THERAPY AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:III
Authorized Official - Credentials:PT MPT
Authorized Official - Phone:609-442-1212
Mailing Address - Street 1:10 RAMS GATE COURT
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055
Mailing Address - Country:US
Mailing Address - Phone:609-442-1212
Mailing Address - Fax:609-241-6348
Practice Address - Street 1:331 TILTON RD SUITE 7
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:ATLANTIC COUNTY
Practice Address - Zip Code:08225
Practice Address - Country:UM
Practice Address - Phone:609-241-6348
Practice Address - Fax:609-241-6348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01670400261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy