Organization
CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER
Active
Organization
CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH OJUGO DPT (OWNER)
(973) 471-3500
Entity
Organization
Contact information
Practice address
1135 BROAD ST, FLR 3, SUITE 2, CLIFTON, NJ 07013-3346
(973) 471-3500
(973) 471-3504
Mailing address
1135 BROAD ST, FLR 3, SUITE 2, CLIFTON, NJ 07013-3346
(973) 471-3500
(973) 471-3504
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA104330
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11224882
CMS
NJ
01
—
7243404
AETNA ID
NJ
Enumeration date
05/03/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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