Provider Demographics
NPI:1629470083
Name:SEVEN STAR REHABILITATION SERVICES LLC
Entity Type:Organization
Organization Name:SEVEN STAR REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-922-0243
Mailing Address - Street 1:17 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1903
Mailing Address - Country:US
Mailing Address - Phone:908-922-0243
Mailing Address - Fax:
Practice Address - Street 1:17 CONCORD RD
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1903
Practice Address - Country:US
Practice Address - Phone:908-922-0243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy