Provider Demographics
NPI:1881762763
Name:SENE, TIMOTHY (PT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:SENE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3833
Mailing Address - Country:US
Mailing Address - Phone:609-379-0900
Mailing Address - Fax:609-581-2725
Practice Address - Street 1:1245 WHITEHORSE MERCERVILLE ROAD, SUITE 401
Practice Address - Street 2:MICHELLE DELA ROSA, PT
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3831
Practice Address - Country:US
Practice Address - Phone:609-379-0900
Practice Address - Fax:609-581-2725
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY020239225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist