NPI 1073204020

Kelvin Imhomoh

Practitioner Physical Therapy Assistant Eatontown, NJ

Practice location

Address: 3 Industrial Way E, Eatontown, NJ 07724-3318
Phone: (732) 544-1557
Mailing address: 13 Gerard Pl, Parlin, NJ 08859-2306

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00342800 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1073204020
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2023
Record last updated: 18 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.