Provider Demographics
NPI:1902184849
Name:CM REHABILITATION SERVICES PC
Entity Type:Organization
Organization Name:CM REHABILITATION SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:609-713-9976
Mailing Address - Street 1:5 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:WEST CREEK
Mailing Address - State:NJ
Mailing Address - Zip Code:08092-2835
Mailing Address - Country:US
Mailing Address - Phone:609-713-9976
Mailing Address - Fax:732-473-1601
Practice Address - Street 1:5 POPLAR ST
Practice Address - Street 2:
Practice Address - City:WEST CREEK
Practice Address - State:NJ
Practice Address - Zip Code:08092-2835
Practice Address - Country:US
Practice Address - Phone:609-713-9976
Practice Address - Fax:732-473-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty