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Organization
INNOVATIVE SENIOR REHABILITATION SERVICES, INC.
Active
Organization
INNOVATIVE SENIOR REHABILITATION SERVICES, INC.
Active
Other names
Innovative Senior Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HADLEY (VP CFO)
(916) 690-0757
Entity
Organization
Contact information
Practice address
517 E FULTON ST, STOCKTON, CA 95204-2251
(209) 943-0255
(209) 943-0255
Mailing address
8147 LAKESPRING WAY, SACRAMENTO, CA 95828-6354
(916) 690-0757
(916) 714-9963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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