Provider Demographics
NPI:1962444554
Name:NATURAL MEDICINE & REHABILITATION CENTER, PA
Entity Type:Organization
Organization Name:NATURAL MEDICINE & REHABILITATION CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-252-0242
Mailing Address - Street 1:3322 US HIGHWAY 22 W
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3476
Mailing Address - Country:US
Mailing Address - Phone:908-252-0242
Mailing Address - Fax:908-252-0243
Practice Address - Street 1:1250 ROUTE 28
Practice Address - Street 2:SUITE 203
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3389
Practice Address - Country:US
Practice Address - Phone:908-252-0242
Practice Address - Fax:908-252-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00304800111N00000X
NJ25MA06323000208100000X
NJ40QA00837400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty