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Contact Information

INTEGRATED NEUROREHAB
1644 N GENEVA RD
PROVO, UT84601-1288
 Phone: 801-636-8106
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for INTEGRATED NEUROREHAB

NPI Number 1346896842
LBN Legal business name INTEGRATED NEUROREHAB
Authorized official DEVERY LARSEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2019
Last updated 08/12/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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