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Organization
VECTOR REHABILITATION
Active
Organization
VECTOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELE LEE SHAW (OFFICE MANAGER)
(707) 442-6463
Entity
Organization
Contact information
Practice address
2121 MYRTLE AVE, EUREKA, CA 95501-3323
(707) 442-6463
(707) 442-5427
Mailing address
2121 MYRTLE AVE, EUREKA, CA 95501-3323
(707) 442-6463
(707) 442-5427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT000600
—
CA
Enumeration date
02/16/2007
Last updated
03/19/2008
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