Organization
MODERN REHABILITATION TECHNOLOGIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M SCHWING LPO, CPO (OWNER)
(973) 784-4286
Entity
Organization
Contact information
Practice address
431 E MAIN STREET (ROUTE 53), SUITE 2, DENVILLE, NJ 07834
(973) 784-4286
(973) 784-4287
Mailing address
329 MIDDLE COUNTRY ROAD, SUITE 2, SMITHTOWN, NY 11787-2821
(631) 360-6400
(631) 360-6449
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00011500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233897
—
NJ
Enumeration date
02/03/2010
Last updated
08/17/2010
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