Independence Rehabilitation Llc

NPI 1144624560 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1144624560
Enumeration Date 10/14/2014
Last Updated 10/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name FAN FAN
Position OWNER
Phone (717) 875-8909
Fax (818) 671-2225
Practice Location
1237 W SHERMAN AVE
VINELAND NJ, 08360-6920, US
Phone (717) 875-8909
Fax (818) 671-2225
Business Location
1425 PICKET DR
LANCASTER PA, 17601-4583, US
Phone (717) 875-8909
Fax (818) 671-2225
Toxanomy
Taxonomy Code 208100000X
License State Pennsylvania
License Number MD431974
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According to our database, Independence Rehabilitation Llc NPI is 1144624560, taxonomy code is 208100000X and license number is MD431974, license state is located at Pennsylvania. Independence Rehabilitation Llc physically located at 1237 W Sherman Ave, Vineland NJ, 08360-6920. NPI Number 1033115704 has the healthcare provider type.

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1144624560 NPI number is provided on an as is basis without warranty of any kind. 1144624560 is maintained by the National Plan & Provider Enumeration System. The contents of Independence Rehabilitation Llc are for informational purposes only.