# DOUGLAS REHABILITATION LLC

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

## Provider details

- **NPI number:** 1750831905
- **Authorized official:** BARBARA DOUGLAS M.D. (MEMBER)
- **Authorized official phone:** (856) 809-0689

## Contact information

- **Practice address:** 92 BRICK RD, MARLTON, NJ 08053-2177
- **Practice address phone:** (856) 809-0689
- **Practice address fax:** (856) 324-9006
- **Mailing address:** 7 GEORGE BINGHAM WAY, MARLTON, NJ 08053-7223
- **Mailing address phone:** (856) 809-0689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 10/12/2016