Organization
EAST COAST REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA NISPEROS PT (CO-OWNER)
(973) 704-7734
Entity
Organization
Contact information
Practice address
700 FAIRFIELD AVE, KENILWORTH, NJ 07033-2012
(908) 241-8591
(855) 631-4348
Mailing address
700 FAIRFIELD AVE, KENILWORTH, NJ 07033-2012
(908) 241-8591
(855) 631-4348
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01110500
NJ
Other
Enumeration date
01/16/2012
Last updated
05/31/2013
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