Provider Demographics
NPI:1508105420
Name:JERSEY PHYSICAL THERAPY OF PRINCETON-PLAINSBORO
Entity Type:Organization
Organization Name:JERSEY PHYSICAL THERAPY OF PRINCETON-PLAINSBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:609-750-1095
Mailing Address - Street 1:3 LIBERTY ST
Mailing Address - Street 2:SUITE 1032
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2084
Mailing Address - Country:US
Mailing Address - Phone:732-297-0032
Mailing Address - Fax:732-297-0558
Practice Address - Street 1:3 LIBERTY ST
Practice Address - Street 2:SUITE 1032
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-2084
Practice Address - Country:US
Practice Address - Phone:732-297-0032
Practice Address - Fax:732-297-0558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty