Provider Demographics
NPI:1598925620
Name:EXCELLENT PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:EXCELLENT PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:DIGIOVINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:908-234-9668
Mailing Address - Street 1:95 SOMERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2638
Mailing Address - Country:US
Mailing Address - Phone:908-234-9668
Mailing Address - Fax:908-234-1343
Practice Address - Street 1:95 SOMERVILLE RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2638
Practice Address - Country:US
Practice Address - Phone:908-234-9668
Practice Address - Fax:908-234-1343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy