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Organization
QUALITY REHAB INC
Active
Organization
QUALITY REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON YISU PARK PT, DPT (CEO/ OWNER)
(719) 550-4613
Entity
Organization
Contact information
Practice address
3604 GALLEY RD, STE 200, COLORADO SPRINGS, CO 80909-4302
(719) 550-4613
(719) 375-8426
Mailing address
3604 GALLEY RD, STE 200, COLORADO SPRINGS, CO 80909-4302
(719) 550-4613
(719) 375-8426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54272785
—
CO
Enumeration date
09/03/2008
Last updated
09/08/2022
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