Organization Name: | PEAK HOME BASED REHABILITATION LLC |
NPI Number: | 1285643130 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERI LYNN MORAN (OWNER PHYSICAL THERAPIST) |
Mailing Address: | 297 Kinderkamack Rd Ste 101 Suite 278 Oradell |
State: | NJ US |
Postal Code: | 076491535 |
Phone Number: | 2012642322 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 03/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA00832000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |