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Organization

ULTIMA REHAB-NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUSTIN DUUS (CFO)
(609) 509-2388
Entity
Organization

Contact information

Practice address
2601 NEW JERSEY AVE, WALL TOWNSHIP, NJ 07719-4519
(610) 590-1385
(267) 790-0402
Mailing address
826 HIGHLAND AVE, MORRISVILLE, PA 19067-1071
(610) 590-1385
(267) 790-0402

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
225XG0600X
Gerontology Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/08/2015
Last updated
09/08/2015
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