Organization
PEDIATRIC AND ADULT REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA ANDERSON-BALLARD (SPEECH-LANGUAGE PATHOLOGIST)
(732) 873-7600
Entity
Organization
Contact information
Practice address
4 RAILROAD AVE, SOMERSET, NJ 08873-2724
(732) 873-7600
Mailing address
4 RAILROAD AVE, SOMERSET, NJ 08873-2724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00686000
NJ
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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