Provider Demographics
NPI:1841098944
Name:TUMAMAK, RHEANAFE (PT)
Entity type:Individual
Prefix:
First Name:RHEANAFE
Middle Name:
Last Name:TUMAMAK
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 SMALLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1358
Mailing Address - Country:US
Mailing Address - Phone:973-652-1409
Mailing Address - Fax:855-678-8887
Practice Address - Street 1:27 SMALLWOOD AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1358
Practice Address - Country:US
Practice Address - Phone:973-652-1409
Practice Address - Fax:855-678-8887
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02198000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist