Provider Demographics
NPI:1497111470
Name:PRANAV PHYSICAL THERAPY AND PILATES, LLC.
Entity Type:Organization
Organization Name:PRANAV PHYSICAL THERAPY AND PILATES, LLC.
Other - Org Name:PRANAV PHYSICAL THERAPY AND PILATES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:732-690-7372
Mailing Address - Street 1:100 PLAINFIELD AVE STE 6B
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-6701
Mailing Address - Country:US
Mailing Address - Phone:732-543-2828
Mailing Address - Fax:732-543-2827
Practice Address - Street 1:100 PLAINFIELD AVE STE 6B
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-6701
Practice Address - Country:US
Practice Address - Phone:732-543-2828
Practice Address - Fax:732-543-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA1037900261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy