Revolutionary Rehab Wellness Corp

Organization Physical Therapy Clinic/Center · NPI 1659785061

Revolutionary Rehab Wellness Corp provides Physical Therapy Clinic/Center services in East Rutherford, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in: NJ
In the registry since: 2014

What do these letters mean?

Corp — Corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

138 Park Ave
East Rutherford, NJ 07073-1855 Not confirmed with CMS for 12 years — call before visiting
Phone: (201) 438-4400
Fax: (201) 203-1748

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary)	Taxonomy 261QP2000X · Licence 40QA00805300 (NJ)

Record details

NPI number	1659785061
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Daniel Mercado — President · (201) 438-4400
NPI enumerated	June 12, 2014
Last updated in NPPES	June 12, 2014
Mailing address	138 Park Ave, East Rutherford, NJ 07073-1855