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Contact Information

CAMELOT REHABILITATION LLC
656 SHREWSBURY AVE
SUITE 102
TINTON FALLS, NJ07701-4964
 Phone: 732-747-2300
 Fax: 732-747-2334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CAMELOT REHABILITATION LLC · (Female)

NPI # 1427358407
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2010
Last updated 05/03/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 40QA00640600
  • NJ Other 188607 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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