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Organization
REHAB OUTREACH, L.L.C.
Active
Organization
REHAB OUTREACH, L.L.C.
Active
Other names
Renaissance Therapy of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE A. DULLE (PRESIDENT)
(314) 506-8800
Entity
Organization
Contact information
Practice address
1100 CLUB VILLAGE DR, SUITE 103, COLUMBIA, MO 65203-4409
(573) 256-2777
(573) 256-2764
Mailing address
2127 INNERBELT BUSINESS CENTER DR, SUITE 107, SAINT LOUIS, MO 63114-5700
(314) 506-8800
(314) 506-8880
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295784197
MEDICARE NPI
MO
Enumeration date
05/08/2006
Last updated
07/22/2008
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