Organization
CENTRAL JERSEY SPEECH,OCCUPATIONAL & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIGA DISKIND M.A., C.C.C. (DIRECTOR)
(732) 367-6332
Entity
Organization
Contact information
Practice address
721 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1255
(732) 367-8577
Mailing address
1004 LEXINGTON AVE, LAKEWOOD, NJ 08701-1863
(732) 367-6332
(732) 901-8452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00062200
NJ
Other
Enumeration date
04/25/2007
Last updated
03/18/2008
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