Organization
JEEVAN THERAPY
Active
Other names
Roseville Physical Therapy & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEEVAN M MATHEW PT (OWNER)
(845) 596-9031
Entity
Organization
Contact information
Practice address
500 ORANGE ST, SUITE 2, NEWARK, NJ 07107-2944
(845) 596-9031
Mailing address
500 ORANGE ST, SUITE 2, NEWARK, NJ 07107-2944
(845) 596-9031
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01478100
NJ
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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