Organization
MAX POTENTIAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL VILLANUEVA OTRL (CO-OWNER)
(201) 744-5122
Entity
Organization
Contact information
Practice address
2207A DURHAM CT, MOUNT LAUREL, NJ 08054-4224
(201) 744-5122
Mailing address
2207A DURHAM CT, MOUNT LAUREL, NJ 08054-4224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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