Organization
DONNELLY REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VINCENT DONNELLY OT (CEO)
(609) 529-7194
Entity
Organization
Contact information
Practice address
395 CLAREMONT AVE, #2, MONTCLAIR, NJ 07042-1879
(609) 529-7194
Mailing address
41 WATCHUNG PLZ, #346, MONTCLAIR, NJ 07042-4117
(862) 596-2989
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
46TR00329400
NJ
Other
Enumeration date
01/16/2012
Last updated
02/28/2012
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