MEDICARE: ABSOLUTE REHAB & PHYSICAL THERAPY, PC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1780902544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE REHAB & PHYSICAL THERAPY, PC

Provider Business Mailing Address
First Line	:	25 LEACH AVE
Second Line	:
City	:	PARK RIDGE
State	:	NJ
Zip	:	07656-1907
Country	:	US
Telephone Number	:	908-474-0615
Fax Number	:	908-474-0676

Provider Business Practice Location Address
First Line	:	10 N WOOD AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-5200
Country	:	US
Telephone Number	:	908-474-0615
Fax Number	:	908-474-0616

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL BINDER
Credential	:	M.D.
Telephone Number	:	908-474-0615

Provider Enumeration Date	:	05/04/2010
Last Update Date	:	06/14/2010

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