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Organization
CORE THERAPY LLC
Active
Organization
CORE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELHANAN REUVEN (CEO)
(917) 796-2769
Entity
Organization
Contact information
Practice address
293 NOWLAN PL, LAKEWOOD, NJ 08701-3435
(347) 669-6080
Mailing address
293 NOWLAN PL, LAKEWOOD, NJ 08701-3435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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