Organization
VISTA REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN B MCEWEN MSCCC-SLP (DIRECTOR)
(732) 634-5980
Entity
Organization
Contact information
Practice address
185 GREEN STREET, WOODBRIDGE, NJ 07095
(732) 634-5980
(732) 634-9508
Mailing address
185 GREEN STREET, WOODBRIDGE, NJ 07095
(732) 634-5980
(732) 634-9508
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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