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Organization
RECOVERCARE THERAPY GROUP, INC.
Active
Organization
RECOVERCARE THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU BOLLIER PT (DIRECTOR OF REHAB)
(562) 484-3860
Entity
Organization
Contact information
Practice address
6850 LINCOLN AVE STE 205, BUENA PARK, CA 90620-4178
(714) 527-9240
Mailing address
13330 BLOOMFIELD AVE, SUITE 101, NORWALK, CA 90650-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15262A
MEDICARE PTAN
CA
Enumeration date
06/21/2006
Last updated
03/27/2018
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