Organization
RISE REHABILITATION AND FITNESS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GAYED PT, DPT, OCS (OWNER)
(551) 233-9110
Entity
Organization
Contact information
Practice address
649 LEIGH TER, TOWNSHIP OF WASHINGTON, NJ 07676-3915
(201) 310-4465
Mailing address
649 LEIGH TER, TOWNSHIP OF WASHINGTON, NJ 07676-3915
(201) 310-4465
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01561700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588105050
—
NJ
Enumeration date
03/16/2017
Last updated
08/18/2020
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