Organization
FIRST REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARUCH GOTTLIEB (DIRECTOR)
(718) 781-4703
Entity
Organization
Contact information
Practice address
1352 RIVER AVE STE 3, LAKEWOOD, NJ 08701-5646
(732) 987-5122
Mailing address
282D CEDAR BRIDGE AVENUE, LAKEWOOD, NJ 08701-4265
(732) 987-5122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/17/2010
Last updated
07/22/2022
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