| Organization Name: | CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER |
| NPI Number: | 1043422009 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH OJUGO (OWNER) |
| Mailing Address: | 1135 Broad St Flr 3, Suite 2 Clifton |
| State: | NJ US |
| Postal Code: | 070133346 |
| Phone Number: | 9734713500 |
| Fax Number: | 9734713504 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 40QA104330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |