Organization
ELITE HOME REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYLWIN VASQUEZ-PAPARO (OWNER)
(347) 827-7945
Entity
Organization
Contact information
Practice address
155 WILLOWBROOK BLVD, STE 110 #2273, WAYNE, NJ 07470
(732) 232-5795
(609) 901-3544
Mailing address
772 JACQUELINE CT, TOMS RIVER, NJ 08753-5695
(347) 827-7945
(609) 901-3544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/17/2022
Last updated
08/21/2022
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