# KW REHAB LLC

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

## Provider details

- **NPI number:** 1316070311
- **Authorized official:** KENNETH WU MD (MEDICAL DOCTOR)
- **Authorized official phone:** (732) 281-3590

## Contact information

- **Practice address:** 92 BRICK RD, MARLTON, NJ 08053-2177
- **Practice address phone:** (732) 281-3590
- **Practice address fax:** (732) 281-0054
- **Mailing address:** 15 VERSAILLES BLVD, CHERRY HILL, NJ 08003-5133
- **Mailing address phone:** (732) 281-3590
- **Mailing address fax:** (732) 281-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA06591200 | NJ | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020
