| Organization Name: | PEDIATRIC REHABILITATION SERVICES, INC. |
| NPI Number: | 1235463423 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA PADUANO (DIRECTOR/PRESIDENT) |
| Mailing Address: | 254 Brick Blvd Suite 10 Brick |
| State: | NJ US |
| Postal Code: | 087237170 |
| Phone Number: | 7322790600 |
| Fax Number: | 7322555095 |
| NPI Enumeration Date: | 09/22/2009 |
| NPI Last Update Date: | 09/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00108000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |