Provider Demographics
NPI:1619522349
Name:CEM PHYSICAL THERAPY & REHABILITATION
Entity Type:Organization
Organization Name:CEM PHYSICAL THERAPY & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-449-9518
Mailing Address - Street 1:53 PEASE AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1406
Mailing Address - Country:US
Mailing Address - Phone:973-449-9518
Mailing Address - Fax:
Practice Address - Street 1:178 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-4071
Practice Address - Country:US
Practice Address - Phone:973-998-8828
Practice Address - Fax:973-998-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy