Organization
SHEA REHABILITATION SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEVIN SHEA PT (PRESIDENT)
(201) 396-1332
Entity
Organization
Contact information
Practice address
11 ERIC RD, FAIRFIELD, NJ 07004-2303
(201) 396-1332
Mailing address
11 ERIC RD, FAIRFIELD, NJ 07004-2303
(201) 396-1332
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
40QA00198200
NJ
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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