Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelvin Imhomoh

Individual provider Physical Therapy Assistant · NPI 1073204020

Kelvin Imhomoh is a Physical Therapy Assistant in Eatontown, New Jersey. Licensed in New Jersey. Registered with an NPI since 2023.

Licensed in
NJ
In the registry since
2023

Practice location Address checks out

3 Industrial Way E
Eatontown, NJ 07724-3318
Phone: (732) 544-1557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00342800 (NJ)

Record details

NPI number1073204020
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

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