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Organization
POPPY PHYSICAL REHABILITATION CONSULTANTS
Active
Organization
POPPY PHYSICAL REHABILITATION CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEOLA O POPOOLA PT (PRESIDENT)
(732) 804-7263
Entity
Organization
Contact information
Practice address
399 ALBERT AVE, LAKEWOOD, NJ 08701-5406
(732) 367-0060
Mailing address
399 ALBERT AVE, LAKEWOOD, NJ 08701-5406
(732) 367-0060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00832600
NJ
Other
Enumeration date
07/17/2007
Last updated
07/30/2008
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