Organization
PREMIER REHAB-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR SABRIDO LIM JR. P.T. (PHYSICAL THERAPIST/OWNER)
(917) 361-2789
Entity
Organization
Contact information
Practice address
7511 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5459
(201) 868-0021
Mailing address
30 PALISADE AVE, BOGOTA, NJ 07603-1825
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01246100
NJ
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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