Organization
TRINITY REHAB SOMERSET PA
Active
Parent organization
TRINITY REHAB SOMERSET PA
Other names
Trinity Rehab North Wales PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY REHAB SOMERSET PA
Authorized official
TONYA GAVRIELIDES (AO)
(732) 219-5700
Entity
Organization
Contact information
Practice address
1460 BETHLEHEM PIKE UNIT 2, NORTH WALES, PA 19454-2159
(732) 219-5700
(732) 334-3004
Mailing address
554 HIGHWAY 35, RED BANK, NJ 07701-5066
(732) 219-5700
(732) 219-5700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245789064
BCBS
NJ
Enumeration date
07/13/2021
Last updated
07/13/2021
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