# EDISON REHABILITATION & ACUPUNCTURE,P.C

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

## Provider details

- **NPI number:** 1902107923
- **Authorized official:** DAE GYUN KIM M.S.,PT, CA (OWNER)
- **Authorized official phone:** (732) 287-1990

## Contact information

- **Practice address:** 1581 ROUTE 27, UNIT 3, EDISON, NJ 08817-3477
- **Practice address phone:** (732) 287-1990
- **Mailing address:** 1581 ROUTE 27, UNIT 3, EDISON, NJ 08817-3477
- **Mailing address phone:** (732) 287-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00040500 | NJ | — |
| 225100000X | Physical Therapist | 40QA01140100 | NJ | Yes |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 11/08/2010