Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1790259349 |
| LBN Legal business name | COLAVRIA THERAPY SERVICES, INC. |
| Authorized official | MARK BEDINGER - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/16/2019 |
| Last updated | 07/26/2021 - About 5 years ago |
| Identifiers | n/a |
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