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Organization
REHAB MASTERS, INC.
Active
Organization
REHAB MASTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE GILLMAN (PRESIDENT)
(480) 473-3790
Entity
Organization
Contact information
Practice address
12191 CLIPPER DR, LAKE RIDGE, VA 22192-2237
(703) 496-3486
Mailing address
8711 E PINNACLE PEAK RD # 347, SCOTTSDALE, AZ 85255-3517
(480) 473-3790
(480) 473-3791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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