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Organization
INTERSTATE REHAB
Active
Organization
INTERSTATE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PIETSCH (PRESIDENT)
(818) 244-5656
Entity
Organization
Contact information
Practice address
3055 W ORANGE AVE, SUITE 202, ANAHEIM, CA 92804-3159
(818) 244-5656
Mailing address
333 E GLENOAKS BLVD, SUITE 204, GLENDALE, CA 91207-2074
(818) 244-5656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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