| Organization Name: | SAM REHAB CONSULTANT,LLC |
| NPI Number: | 1316379407 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ISAM M SHAHIN (DPT) |
| Mailing Address: | 280 Maple St Secaucus |
| State: | NJ US |
| Postal Code: | 070943706 |
| Phone Number: | 2014179556 |
| Fax Number: | 2018630944 |
| NPI Enumeration Date: | 07/31/2013 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 40QA00577000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |