Provider Demographics
NPI:1093453391
Name:LINK REHAB SERVICES
Entity Type:Organization
Organization Name:LINK REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PENAVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-922-1097
Mailing Address - Street 1:127 RAYMOND DR
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1665
Mailing Address - Country:US
Mailing Address - Phone:609-922-1097
Mailing Address - Fax:
Practice Address - Street 1:127 RAYMOND DR
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-1665
Practice Address - Country:US
Practice Address - Phone:609-922-1097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty