Healthcare Provider Details

I. General information

NPI: 1609323336
Provider Name (Legal Business Name): LINK REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2016
Last Update Date: 09/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 RACHEL TER APARTMENT 2
PINE BROOK NJ
07058-9359
US

IV. Provider business mailing address

4100 RACHEL TER APARTMENT 2
PINE BROOK NJ
07058-9359
US

V. Phone/Fax

Practice location:
  • Phone: 347-277-9531
  • Fax:
Mailing address:
  • Phone: 347-277-9531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01501500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00611900
License Number StateNJ

VIII. Authorized Official

Name: DR. MATTHEW SAUNDERS
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 347-277-9531