Organization
CHURCHILL ORTHOPEDIC REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KNOWLES CHURCHILL P.T. (OWNER)
(201) 833-1333
Entity
Organization
Contact information
Practice address
1086 TEANECK RD, SUITE3E, TEANECK, NJ 07666-4854
(201) 833-1333
Mailing address
1086 TEANECK RD, SUITE3E, TEANECK, NJ 07666-4854
(201) 833-1333
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QAO3114
NJ
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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