Organization
THERAPEUTIC REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR KOVAL OTR (PRESIDENT)
(917) 656-6757
Entity
Organization
Contact information
Practice address
227 HOLLAND RD, HOLMDEL, NJ 07733-1216
(917) 656-6757
Mailing address
227 HOLLAND RD, HOLMDEL, NJ 07733-1216
(917) 656-6757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR 00390900
NJ
Other
Enumeration date
01/27/2014
Last updated
01/28/2014
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