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Organization
OPTIMUM ORTHOPEDICS PHYSICAL THERAPY & REHAB CENTER II LLC
Active
Organization
OPTIMUM ORTHOPEDICS PHYSICAL THERAPY & REHAB CENTER II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL Q. CERULLO MSPT, CSCS (OWNER/OPERATOR)
(973) 746-2424
Entity
Organization
Contact information
Practice address
1 GREENWOOD AVE, SUITE 100, MONTCLAIR, NJ 07042-3649
(973) 746-2424
(973) 746-5030
Mailing address
ONE GREENWOOD AVE, SUITE 100, MONTCLAIR, NJ 07042-3617
(973) 746-2424
(973) 746-5030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA08051
NJ
225100000X
Physical Therapist
QA08619
NJ
225100000X
Physical Therapist
QA10818
NJ
225XH1200X
Hand Occupational Therapist
TR01594
NJ
Other
Enumeration date
06/19/2006
Last updated
09/22/2015
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