# THERAHOME REHAB

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

## Provider details

- **NPI number:** 1578107694
- **Authorized official:** LIORA STOLBACH OTR/L (CO OWNER)
- **Authorized official phone:** (973) 930-1153

## Contact information

- **Practice address:** 15 VALLEY RD, JACKSON, NJ 08527-1825
- **Practice address phone:** (973) 930-1153
- **Mailing address:** 15 VALLEY RD, JACKSON, NJ 08527-1825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2019
- **Last updated:** 10/31/2019