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Contact Information

NEW VISION REHABILITATION
120 WEST PEARL AVE
JACKSON, WY83001
 Phone: 307-699-7478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NEW VISION REHABILITATION

NPI Number 1235560889
LBN Legal business name NEW VISION REHABILITATION
Authorized official KRISTOPHER ALLISON - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2013
Last updated 12/09/2013 - About 12 years ago
Identifiers
WY License # OTR-699
WY Other 12627042 CAQH
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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