Healthcare Provider Details

I. General information

NPI: 1225630122
Provider Name (Legal Business Name): PEARL REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2020
Last Update Date: 01/10/2021
Certification Date: 01/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 N PARK AVE
SHREWSBURY NJ
07702-4413
US

IV. Provider business mailing address

54 N PARK AVE
SHREWSBURY NJ
07702-4413
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-0478
  • Fax:
Mailing address:
  • Phone: 917-406-0478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN ABIGAIL PIRL
Title or Position: PT, OWNER
Credential: PT, DPT
Phone: 917-406-0478