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Organization
VICTORY REHABILITATION
Active
Organization
VICTORY REHABILITATION
Active
Other names
Victory Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR RIVERA VICTORIANO OT (OCCUPATIONAL THERAPIST)
(646) 338-6349
Entity
Organization
Contact information
Practice address
66 BALMORAL AVE, MATAWAN, NJ 07747-3503
(646) 280-6266
Mailing address
66 BALMORAL AVE, MATAWAN, NJ 07747-3503
(646) 338-6349
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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