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Organization
PROGRESSIVE PHYSICAL REHABILITATION
Active
Organization
PROGRESSIVE PHYSICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VSEVOLOD ELKANOVICH DPT (PRESIDENT)
(732) 370-4855
Entity
Organization
Contact information
Practice address
765 NEWMAN SPRINGS RD, LINCROFT, NJ 07738
(732) 370-4855
(732) 344-4484
Mailing address
765 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1543
(732) 370-4855
(732) 344-4484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01095600
NJ
Other
Enumeration date
01/25/2007
Last updated
11/01/2019
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