Provider Demographics
NPI:1043576887
Name:FORDS REHAB LLC
Entity Type:Organization
Organization Name:FORDS REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SEEMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:732-738-0030
Mailing Address - Street 1:515 NEW BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-2131
Mailing Address - Country:US
Mailing Address - Phone:732-738-0030
Mailing Address - Fax:732-738-4040
Practice Address - Street 1:515 NEW BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-2131
Practice Address - Country:US
Practice Address - Phone:732-738-0030
Practice Address - Fax:732-738-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2017-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00410500261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy