Genuine Rehabilitation Inc | |
170 Oak Street, Ridgewood, NJ 07450 | |
(201) 925-0056 | |
Not Available |
Full Name | Genuine Rehabilitation Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 170 Oak Street, Ridgewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013302447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 40QA00932000 (New Jersey) | Primary |
Provider Name | Olga V Chaikovsky |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346462348 PECOS PAC ID: 1850531955 Enrollment ID: I20130715000209 |
Mailing Address | Practice Location Address |
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Genuine Rehabilitation Inc 170 Oak Street, Ridgewood, NJ 07450 Ph: (201) 925-0056 | Genuine Rehabilitation Inc 170 Oak Street, Ridgewood, NJ 07450 Ph: (201) 925-0056 |
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