Provider Demographics
NPI:1831398221
Name:MULJI, PALAK (PT)
Entity type:Individual
Prefix:
First Name:PALAK
Middle Name:
Last Name:MULJI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 S WHITTMORE ST
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1549
Mailing Address - Country:US
Mailing Address - Phone:215-345-1091
Mailing Address - Fax:
Practice Address - Street 1:730 S BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5211
Practice Address - Country:US
Practice Address - Phone:215-855-9871
Practice Address - Fax:215-855-8748
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01163300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist