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NPI Code Detail

MEDICARE: SUNRISE THERAPY

MEDICARE: SUNRISE THERAPY
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
1225100000XPhysical Therapist
2225400000XRehabilitation Practitioner
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist
5261QD1600XDevelopmental Disabilities Clinic/Center
6252Y00000XEarly Intervention Provider AgencyPA

General Provider Information

NPI Number : 1427388610
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNRISE THERAPY
Provider Business Mailing Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 732-886-6202
Fax Number : 732-538-4470
Provider Business Practice Location Address
First Line : 850 TOWBIN AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5928
Country : US
Telephone Number : 732-886-6202
Fax Number : 732-538-4470
Authorized Official
Title or Position : MEMBER
Name : MR. ELIEZER FRIEDMAN
Credential :
Telephone Number : 732-600-0616
Provider Enumeration Date : 01/11/2010
Last Update Date : 11/08/2022

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Directions to “SUNRISE THERAPY ” Practice Location

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