# FUNCTIONPRO REHAB SERVICES LLC

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

## Provider details

- **NPI number:** 1134904170
- **Authorized official:** JOAN C CORPUZ PT (PT/OWNER)
- **Authorized official phone:** (201) 696-1396

## Contact information

- **Practice address:** 31 LAUREL DR, WAYNE, NJ 07470-4403
- **Practice address phone:** (201) 696-1396
- **Mailing address:** 31 LAUREL DR, WAYNE, NJ 07470-4403
- **Mailing address phone:** (201) 696-1396

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 01/24/2024