Organization
CORE CARE PLUS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPENCER (CREDENTIALING SPECIALIST)
(540) 504-0118
Entity
Organization
Contact information
Practice address
255 W SPRING VALLEY AVE STE 109, MAYWOOD, NJ 07607-1444
(540) 671-9474
Mailing address
7010 LITTLE RIVER TPKE STE 400, ANNANDALE, VA 22003-3241
(540) 671-9474
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133870146
—
NJ
Enumeration date
07/17/2020
Last updated
11/19/2020
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