# TOTAL REHABILITATION & SPORTS MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013145176
- **Authorized official:** DR. BRINDA KANTHA-SULLIVAN D.O. (PRESIDENT)
- **Authorized official phone:** (908) 252-9900

## Contact information

- **Practice address:** 380 FOOTHILL RD, BRIDGEWATER, NJ 08807-2255
- **Practice address phone:** (908) 252-9900
- **Practice address fax:** (908) 252-9901
- **Mailing address:** 380 FOOTHILL RD, BRIDGEWATER, NJ 08807-2255
- **Mailing address phone:** (908) 252-9900
- **Mailing address fax:** (908) 252-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MB07930700 | NJ | Yes |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 04/30/2015