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Organization
REHAB TEX PHYSICAL THERAPY INC.
Active
Organization
REHAB TEX PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LEE PINEDA-FALDAS RPT (CHIEF EXECUTIVE OFFICER)
(951) 310-1130
Entity
Organization
Contact information
Practice address
647 SHENANDOAH RD, CORONA, CA 92879-8509
(951) 310-1130
(877) 563-5027
Mailing address
647 SHENANDOAH RD, CORONA, CA 92879-8509
(951) 310-1130
(877) 563-5027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT25778
CA
261QP2000X
Physical Therapy Clinic/Center
PT25778
CA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
PT25778
CA
Other
Enumeration date
11/12/2007
Last updated
02/12/2009
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