Provider Demographics
NPI:1831782622
Name:TAKE CHARGE REHAB & WELLNESS, PC
Entity type:Organization
Organization Name:TAKE CHARGE REHAB & WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:RAM
Authorized Official - Last Name:MIRCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, MSPT
Authorized Official - Phone:732-591-9494
Mailing Address - Street 1:100 CAMPUS DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1253
Mailing Address - Country:US
Mailing Address - Phone:732-591-9494
Mailing Address - Fax:732-591-8850
Practice Address - Street 1:100 CAMPUS DR STE 102
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1253
Practice Address - Country:US
Practice Address - Phone:732-591-9494
Practice Address - Fax:732-591-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy