Provider Demographics
NPI:1003168618
Name:PREMIER REHAB PLUS LLC
Entity Type:Organization
Organization Name:PREMIER REHAB PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADRALES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-837-6212
Mailing Address - Street 1:1033 CLIFTON AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3525
Mailing Address - Country:US
Mailing Address - Phone:973-837-6212
Mailing Address - Fax:973-837-6215
Practice Address - Street 1:1033 CLIFTON AVE STE 211
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3525
Practice Address - Country:US
Practice Address - Phone:973-837-6212
Practice Address - Fax:973-837-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01063300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy