Organization
COMPLETE REHAB THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA FOOKSON (PARTNER)
(718) 743-7090
Entity
Organization
Contact information
Practice address
540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879-1544
(718) 743-7090
(718) 743-7581
Mailing address
540 BORDENTOWN AVE, SOUTH AMBOY, NJ 08879-1544
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46TR00142400
NJ
Other
Enumeration date
05/12/2006
Last updated
12/15/2008
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