Organization
CLARK REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT DELL'AQUILA (OWNER)
(732) 382-2473
Entity
Organization
Contact information
Practice address
53 WESTFIELD AVE, CLARK, NJ 07066-3262
(732) 388-8333
(732) 388-9444
Mailing address
36 KENNEDY DR, CLARK, NJ 07066-2908
(732) 388-8333
(732) 388-9444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011887-L
PA
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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