Organization
HOME ADVANTAGE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WINOGRAD P.T. (PHYSICAL THERAPIST)
(201) 704-4411
Entity
Organization
Contact information
Practice address
1 HARPER ST, WEST ORANGE, NJ 07052-3635
(201) 704-4411
(862) 520-5206
Mailing address
1 HARPER ST, WEST ORANGE, NJ 07052-3635
(201) 704-4411
(862) 520-5206
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
40QA00789300
NJ
Other
Enumeration date
11/10/2012
Last updated
11/10/2012
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