Organization
JERSEY SHORE HOME REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEERAV TRIVEDI (PRESIDENT)
(609) 271-5721
Entity
Organization
Contact information
Practice address
7 KENTUCKY RD, EGG HARBOR TOWNSHIP, NJ 08234-8025
(609) 271-5721
Mailing address
7 KENTUCKY RD, EGG HARBOR TOWNSHIP, NJ 08234-8025
(609) 271-5721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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