Provider Demographics
NPI:1720355498
Name:RAINBOW THERAPY
Entity Type:Organization
Organization Name:RAINBOW THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOROTZKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-534-7325
Mailing Address - Street 1:19 OLIVE COURT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4058
Mailing Address - Country:US
Mailing Address - Phone:732-534-7325
Mailing Address - Fax:
Practice Address - Street 1:1400 PINE ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4963
Practice Address - Country:US
Practice Address - Phone:732-534-7325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-24
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty