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Organization

BRUNSWICK PHYSICAL THERAPY AND REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDILBERTO ORCULLO ESTOMO JR. PHYSICAL THERAPIST (PRESIDENT)
(201) 951-7534
Entity
Organization

Contact information

Practice address
725 RIVER RD, SUITE 32-253, EDGEWATER, NJ 07020-1171
(201) 951-7534
(201) 758-5095
Mailing address
725 RIVER RD, SUITE 32-253, EDGEWATER, NJ 07020-1171
(201) 951-7534
(201) 758-5095

Taxonomy

Speciality
Code
Description
License number
State
2251H1300X
Human Factors Physical Therapist
Primary
40QA00520400
NJ

Other

Enumeration date
04/22/2010
Last updated
04/22/2010
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