Organization
KIMBERLY PHYSICAL THERAPY & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDILBERTO ORCULLO ESTOMO JR. PHYSICAL THERAPIST (OWNER)
(201) 951-7534
Entity
Organization
Contact information
Practice address
1060 BROAD ST, NEWARK, NJ 07102-2397
(973) 558-5353
(973) 558-5355
Mailing address
770 RIVER RD, #29, EDGEWATER, NJ 07020-6600
(201) 851-7534
(201) 758-5095
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00520400
NJ
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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