Organization Name: | OPTIMUM ORTHOPEDICS PHYSICAL THERAPY & REHAB CENTER II LLC |
NPI Number: | 1952346355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL Q. CERULLO (OWNER/OPERATOR) |
Mailing Address: | 1 Greenwood Ave Suite 100 Montclair |
State: | NJ US |
Postal Code: | 070423649 |
Phone Number: | 9737462424 |
Fax Number: | 9737465030 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA10818 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |