Provider Demographics
NPI:1497816888
Name:MORRIS REHABILITATION AND PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:MORRIS REHABILITATION AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-361-4416
Mailing Address - Street 1:2 MOUNT PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3748
Mailing Address - Country:US
Mailing Address - Phone:973-361-4416
Mailing Address - Fax:973-361-4481
Practice Address - Street 1:2 MOUNT PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-3748
Practice Address - Country:US
Practice Address - Phone:973-361-4416
Practice Address - Fax:973-361-4481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3341111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty