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Organization
ULTIMATE REHAB
Active
Organization
ULTIMATE REHAB
Active
Parent organization
AMJDNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMJDNA
Authorized official
ANNETTE LABARBIERA PT (MGM)
(201) 759-6924
Entity
Organization
Contact information
Practice address
74 OAK ST, RIDGEWOOD, NJ 07450-2557
(201) 759-6924
Mailing address
74 OAK ST, RIDGEWOOD, NJ 07450-2557
(201) 759-6924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00479500
NJ
Other
Enumeration date
02/15/2009
Last updated
01/19/2010
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