Provider Demographics
NPI:1023407731
Name:KHUNT, NEETABEN MANSUKHBHAI (PT)
Entity type:Individual
Prefix:
First Name:NEETABEN
Middle Name:MANSUKHBHAI
Last Name:KHUNT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WHITE OAK LN
Mailing Address - Street 2:STE 103
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-1975
Mailing Address - Country:US
Mailing Address - Phone:708-663-9200
Mailing Address - Fax:
Practice Address - Street 1:3 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1604
Practice Address - Country:US
Practice Address - Phone:201-494-2557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-19
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035193225100000X
NJ40QA01579600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist