| Pedia-rehab, Inc. | |
| 
					30 Beaver Run Rd, Hamburg, NJ 07419  | |
| (973) 827-6039 | |
| Not Available | 
| Full Name | Pedia-rehab, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Speech-language Pathologist | 
| Location | 30 Beaver Run Rd, Hamburg, New Jersey | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033277504 | NPI | - | NPPES | 
| 0093003GA | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4978 (Georgia) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 41YS00255000 (New Jersey) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pedia-rehab, Inc. 30 Beaver Run Rd, Hamburg, NJ 07419 Ph: (973) 827-6039  | Pedia-rehab, Inc. 30 Beaver Run Rd, Hamburg, NJ 07419 Ph: (973) 827-6039  | 
Shannon Pravetz,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 228 Wheatsworth Rd, Hamburg, NJ 07419 Phone: 845-325-0124 Fax: 973-827-8421  | |
Mrs. Catherine B Feenstra,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Quarry Rd, Suite C, Hamburg, NJ 07419 Phone: 973-209-4064 Fax: 973-209-4867  | |
Miss Diane U Simon, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Beaver Run Rd, Hamburg, NJ 07419 Phone: 973-827-6039 Fax: 678-867-6974  | |
Klara Elizabeth Azzopardi, M.ED., M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Mulberry Ln, Hamburg, NJ 07419 Phone: 732-668-6387  |