Organization
COMPLETE REHAB THERAPY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA FOOKSON DPT (PRESIDENT)
(732) 525-0123
Entity
Organization
Contact information
Practice address
540 BORDENTOWN AVE, SUITE 4700, SOUTH AMBOY, NJ 08879-1544
(732) 525-0123
(732) 525-0133
Mailing address
540 BORDENTOWN AVE, SUITE 4700, SOUTH AMBOY, NJ 08879-1544
(732) 525-0123
(732) 525-0133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01047600
NJ
225X00000X
Occupational Therapist
46TR00142400
NJ
Other
Enumeration date
03/07/2007
Last updated
04/22/2008
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