Healthcare Provider Details
I. General information
NPI: 1588281679
Provider Name (Legal Business Name): COMPASSIONFIRST REHAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2020
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
46 NEWELL DR
BASKING RIDGE NJ
07920-2510
US
IV. Provider business mailing address
46 NEWELL DR
BASKING RIDGE NJ
07920-2510
US
V. Phone/Fax
- Phone: 908-499-0208
- Fax:
- Phone: 908-499-0208
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RITA
ERMILA
IGLESIAS
Title or Position: OWNER
Credential: DPT
Phone: 908-499-0208