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Organization
PLYMOUTH REHAB GROUP LLC
Active
Organization
PLYMOUTH REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MIN DPT (DOCTOR OF PHYSICAL THERAPY)
(551) 999-3616
Entity
Organization
Contact information
Practice address
800 12TH ST APT 203, PALISADES PARK, NJ 07650-2371
(551) 999-3616
Mailing address
800 12TH ST APT 203, PALISADES PARK, NJ 07650-2371
(551) 999-3616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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