# COMPLETE REHAB THERAPY P C

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

## Provider details

- **NPI number:** 1427008911
- **Authorized official:** IRINA FOOKSON (PARTNER)
- **Authorized official phone:** (718) 743-7090

## Contact information

- **Practice address:** 540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879-1544
- **Practice address phone:** (718) 743-7090
- **Practice address fax:** (718) 743-7581
- **Mailing address:** 540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879-1544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 46TR00142400 | NJ | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 12/15/2008