# MOBILE REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346864923
- **Authorized official:** MR. DANIEL KANG PT, DPT (CEO)
- **Authorized official phone:** (503) 487-6221

## Contact information

- **Practice address:** 319 N THE GREENS AVE, NEWBERG, OR 97132-7464
- **Practice address phone:** (503) 487-6221
- **Practice address fax:** (503) 683-8071
- **Mailing address:** 319 N THE GREENS AVE, NEWBERG, OR 97132-7464
- **Mailing address phone:** (503) 487-6221
- **Mailing address fax:** (503) 683-8071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2020
- **Last updated:** 05/30/2020
