Organization
PEDIATRIC REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA PADUANO M.A., CCC-SLP (DIRECTOR/PRESIDENT)
(732) 279-0600
Entity
Organization
Contact information
Practice address
254 BRICK BLVD, SUITE 10, BRICK, NJ 08723-7170
(732) 279-0600
(732) 255-5095
Mailing address
254 BRICK BLVD, SUITE 10, BRICK, NJ 08723-7170
(732) 279-0600
(732) 255-5095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00108000
NJ
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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