Organization
LGM REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE MARAPAO PT (REHAB MANAGER)
(973) 931-0797
Entity
Organization
Contact information
Practice address
10 FARM VIEW CT, WAYNE, NJ 07470-2535
(973) 931-0797
Mailing address
10 FARM VIEW CT, WAYNE, NJ 07470-2535
(973) 931-0797
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
40QA009669
NJ
261QR0400X
Rehabilitation Clinic/Center
Primary
40QA009669
NJ
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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