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Organization
REHABILITY SPORTS MEDICINE, LLC
Active
Organization
REHABILITY SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JIMENEZ MD (AUTHORIZED REPRESENTATIVE)
(732) 780-6230
Entity
Organization
Contact information
Practice address
83 SOUTH ST. STE 204, FREEHOLD, NJ 07728
(732) 780-6230
(732) 780-6232
Mailing address
83 SOUTH ST. STE 204, FREEHOLD, NJ 07728
(732) 780-6230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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