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Organization
TEAM REHAB P.A
Active
Organization
TEAM REHAB P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN DONOGHUE PT (OWNER)
(856) 845-1253
Entity
Organization
Contact information
Practice address
1007 MANTUA PIKE, WOODBURY, NJ 08096-3963
(856) 845-1253
(856) 845-3779
Mailing address
1007 MANTUA PIKE, WOODBURY, NJ 08096-3963
(856) 845-1253
(856) 845-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00400900
NJ
Other
Enumeration date
07/19/2006
Last updated
05/21/2009
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