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Organization
REBOUND PHYSICAL THERAPY II, LLC
Active
Organization
REBOUND PHYSICAL THERAPY II, LLC
Active
Other names
Rebound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDSON (MED BILLING & INSURANCE MANAGER)
(541) 585-2529
Entity
Organization
Contact information
Practice address
1717 NE 2ND ST, REDMOND, OR 97756-8249
(541) 504-2350
(541) 923-7550
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500609593
—
OR
01
—
523039000
BLUE CROSS
OR
Enumeration date
07/19/2010
Last updated
12/07/2015
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