MEDICARE: REHAB EXCELLENCE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA00682800	NJ

General Provider Information

NPI Number	:	1144275835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB EXCELLENCE CENTER, LLC

Provider Business Mailing Address
First Line	:	6981 N PARK DR
Second Line	:	SUITE 102
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08109-4205
Country	:	US
Telephone Number	:	856-910-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6981 N PARK DR
Second Line	:	SUITE 102
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08109-4205
Country	:	US
Telephone Number	:	856-910-1200
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL OPERATIONS
Name	:	STEVEN JOSEPH WOODSON
Credential	:
Telephone Number	:	856-910-1200

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	08/22/2020

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