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Organization
ULTIMA REHAB-NJ LLC
Active
Organization
ULTIMA REHAB-NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN DUUS (CFO)
(609) 509-2388
Entity
Organization
Contact information
Practice address
2601 NEW JERSEY AVE, WALL TOWNSHIP, NJ 07719-4519
(610) 590-1385
(267) 790-0402
Mailing address
826 HIGHLAND AVE, MORRISVILLE, PA 19067-1071
(610) 590-1385
(267) 790-0402
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
NULL
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225XG0600X
Gerontology Occupational Therapist
—
NULL
225XG0600X
Gerontology Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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