Organization
PRIME CARE REHAB, INC
Active
Organization
PRIME CARE REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIVINE OCAMPO RODRIGUEZ PT (PRESIDENT /PHYSICAL THERAPIST)
17325493993
Entity
Organization
Contact information
Practice address
3830 PARK AVE STE 207, EDISON, NJ 08820-2562
(732) 549-3993
(732) 549-3991
Mailing address
3830 PARK AVE STE 207, EDISON, NJ 08820-2562
(732) 549-3993
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT40QA008339000
NJ
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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