Provider Demographics
NPI:1285745018
Name:ATLANTIC CAPE REHAB ASSOCIATES INC
Entity type:Organization
Organization Name:ATLANTIC CAPE REHAB ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:N
Authorized Official - Last Name:LIPKE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-886-1551
Mailing Address - Street 1:1121 ROUTE 47 S
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08242-1600
Mailing Address - Country:US
Mailing Address - Phone:609-886-1551
Mailing Address - Fax:609-886-5608
Practice Address - Street 1:1121 ROUTE 47 S
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1600
Practice Address - Country:US
Practice Address - Phone:609-886-1551
Practice Address - Fax:609-886-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy