Provider Demographics
NPI:1891164562
Name:PROTOUCH PHYSICAL THERAPY GROUP LLC
Entity Type:Organization
Organization Name:PROTOUCH PHYSICAL THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:T
Authorized Official - Last Name:GANDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-325-6556
Mailing Address - Street 1:570 SOUTH AVE E
Mailing Address - Street 2:BUILDING G SUITE C
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3200
Mailing Address - Country:US
Mailing Address - Phone:973-207-9798
Mailing Address - Fax:973-543-2054
Practice Address - Street 1:570 SOUTH AVE E STE C
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3200
Practice Address - Country:US
Practice Address - Phone:973-207-9798
Practice Address - Fax:973-543-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty