1457426231 NPI number — TOWNSHIP SPORTS THERAPY & WORK HARDENING, P.C.

Table of content: DR. AMIEE SUIJUAN HO O.D. (NPI 1396009478)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457426231 NPI number — TOWNSHIP SPORTS THERAPY & WORK HARDENING, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWNSHIP SPORTS THERAPY & WORK HARDENING, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457426231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
860 ROUTE 168
Provider Second Line Business Mailing Address:
LAKESIDE PLAZA, SUITE 102 - 103
Provider Business Mailing Address City Name:
TURNERSVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08012-3215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-228-8600
Provider Business Mailing Address Fax Number:
856-228-9310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
860 ROUTE 168
Provider Second Line Business Practice Location Address:
LAKESIDE PLAZA, SUITE 102 - 103
Provider Business Practice Location Address City Name:
TURNERSVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08012-3215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-228-8600
Provider Business Practice Location Address Fax Number:
856-228-9310
Provider Enumeration Date:
11/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SENTMAN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CLINICAL OPERATIONS
Authorized Official Telephone Number:
856-228-8600

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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