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Organization

EVOLVE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDER CHARLES MS OTR/L (OWNER)
(862) 272-7504
Entity
Organization

Contact information

Practice address
18 OLIVER ST SUITE 101, NEWARK, NJ 07102
(862) 272-7504
(862) 206-8417
Mailing address
18 OLIVER ST SUITE 101, NEWARK, NJ 07102
(862) 272-7504
(862) 206-8417

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
225100000X
Physical Therapist
2251C2600X
Cardiopulmonary Physical Therapist
225X00000X
Occupational Therapist
Primary
225XH1200X
Hand Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
02/17/2020
Last updated
09/15/2021
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