Organization
ACTS REHABILITATION SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBENEZER OGUNTUASE RPT (PRESIDENT)
(856) 794-2100
Entity
Organization
Contact information
Practice address
500 E LANDIS AVE, VINELAND, NJ 08360-8017
(856) 794-2100
(856) 794-2120
Mailing address
500 E LANDIS AVE, VINELAND, NJ 08360-8017
(856) 794-2100
(856) 794-2120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00598500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092680
MEDICARE GROUP #
NJ
01
—
2065081
US HEALTHCARE
NJ
01
—
2115735000
AMERIHEALTH
NJ
01
—
5719663
AETNA US HEALTHCARE
NJ
01
—
P00040938
RAILROAD MEDICARE
NJ
Enumeration date
02/22/2006
Last updated
09/20/2024
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