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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
222 W PINE ST, LODI, CA 95240-2020
(209) 368-1009
(209) 368-1024
Mailing address
222 W PINE ST, LODI, CA 95240-2020
(209) 368-1009
(209) 368-1024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/18/2009
Last updated
11/07/2010
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