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Organization
PROREHAB PC
Active
Organization
PROREHAB PC
Active
Parent organization
PROREHAB PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROREHAB PC
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
2900 TRIMBLE RD STE 101, COLUMBIA, MO 65201-7180
(573) 397-7036
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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