Organization
JASPER REHAB VA LLC
Active
Organization
JASPER REHAB VA LLC
Active
Other names
Jasper Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
YOGESH KUMAR (OWNER)
(929) 328-6432
Entity
Organization
Contact information
Practice address
4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462-3671
(929) 328-6432
Mailing address
131 MARINA POINTE DR, EAST ROCKAWAY, NY 11518-2067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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