Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1326273921 |
| LBN Legal business name | COMMUNITY REHAB PT |
| Authorized official | MARY THEILER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/26/2009 |
| Last updated | 08/08/2012 - About 14 years ago |
| Identifiers | n/a |
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COMMUNITY REHAB PT
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