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Organization

CLASSIC REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC LUBET (PRESIDENT)
(732) 367-1888
Entity
Organization

Contact information

Practice address
500 RIVER AVE, LAKEWOOD, NJ 08701-4738
(732) 367-1888
(732) 367-5910
Mailing address
500 RIVER AVE, LAKEWOOD, NJ 08701-4738
(732) 367-1888
(732) 367-5910

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0C010760
PA
225X00000X
Occupational Therapist
Primary
46TR00065700
NJ

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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