Provider Demographics
NPI:1982154266
Name:TRI-PRO PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:TRI-PRO PHYSICAL THERAPY LLC
Other - Org Name:TRI-PRO PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/ PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KULWANT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:732-485-3990
Mailing Address - Street 1:629 AMBOY AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3579
Mailing Address - Country:US
Mailing Address - Phone:732-485-3990
Mailing Address - Fax:
Practice Address - Street 1:629 AMBOY AVE STE 2
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3579
Practice Address - Country:US
Practice Address - Phone:732-485-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2017-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01459000225100000X
NJ40QA01478200225100000X
NJ40QA01475400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty