# INDEPENDENCE REHAB SERVICES PC

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

## Provider details

- **NPI number:** 1053366690
- **Authorized official:** MRS. SHIRVELL M THOMAS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (856) 321-1900

## Contact information

- **Practice address:** 1030 KINGS HWY N, SUITE 210, CHERRY HILL, NJ 08034-1907
- **Practice address phone:** (856) 321-1900
- **Practice address fax:** (856) 321-1107
- **Mailing address:** 1030 KINGS HWY N, SUITE 210, CHERRY HILL, NJ 08034-1907
- **Mailing address phone:** (856) 321-1900
- **Mailing address fax:** (856) 321-1107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/03/2011