Organization
FAM REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA WATTLES (OWNER/PROVIDER)
(609) 964-7901
Entity
Organization
Contact information
Practice address
329 E JIMMIE LEEDS RD STE 103, GALLOWAY, NJ 08205-4110
(609) 964-7901
Mailing address
329 E JIMMIE LEEDS RD STE 103, GALLOWAY, NJ 08205-4110
(609) 964-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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