Organization
NOVACARE
Active
Parent organization
SELECT MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELECT MEDICAL
Authorized official
CRAIG BLANDA (CENTER MANAGER)
(856) 467-3421
Entity
Organization
Contact information
Practice address
520 BECKETT RD, LOGAN TOWNSHIP, NJ 08085-1732
(856) 467-3421
Mailing address
520 BECKETT RD, LOGAN TOWNSHIP, NJ 08085-1732
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01660100
NJ
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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