Organization
REHAB HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN V. DECASTRO OTR/L (PRESIDENT)
(732) 254-1883
Entity
Organization
Contact information
Practice address
3 BUCZEK CT, SAYREVILLE, NJ 08872-2160
(732) 254-1883
Mailing address
3 BUCZEK CT, SAYREVILLE, NJ 08872-2160
(732) 254-1883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012636
NY
225XN1300X
Neurorehabilitation Occupational Therapist
012636
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
012636
NY
225XP0200X
Pediatric Occupational Therapist
012636
NY
Other
Enumeration date
01/11/2013
Last updated
01/14/2013
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