Organization
SERENE PHYSICAL & OCCUPATIONAL THERAPY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KING IMASUEN (CEO/OCCUPATIONAL THERAPIST)
(718) 350-7188
Entity
Organization
Contact information
Practice address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
(718) 350-7188
Mailing address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
(718) 350-7188
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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