Basic Information
| Provider Information | |||||||||
| NPI: | 1356565006 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | S & H REHABILITATION ASSOCIATES LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | INTEGRITY PHYSICAL THERAPY WELLNESS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 RAMS GATE CT | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080559704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092416339 | ||||||||
| FaxNumber: | 6092416348 | ||||||||
| Practice Location | |||||||||
| Address1: | 1261 S ROUTE 9 | ||||||||
| Address2: | |||||||||
| City: | CAPE MAY COURT HOUSE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082102761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094658801 | ||||||||
| FaxNumber: | 6094658808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2007 | ||||||||
| LastUpdateDate: | 10/02/2015 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialFirstName: | RUDOLPH | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6092416339 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | III | ||||||||
| AuthorizedOfficialCredential: | PT, MPT | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.