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Organization
TRINITY REHAB LONG BRANCH, P.A.
Active
Organization
TRINITY REHAB LONG BRANCH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIZKALLA OTR/L, MLDT (PRESIDENT/CEO)
(732) 219-5700
Entity
Organization
Contact information
Practice address
279 3RD AVE, SUITE 206, LONG BRANCH, NJ 07740-6211
(732) 219-5700
(732) 219-5703
Mailing address
558 HIGHWAY 35, RED BANK, NJ 07701-5066
(732) 219-5700
(732) 219-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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