# REIMAGINE REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760259972
- **Authorized official:** GISLAND MONTOUR DO (CEO)
- **Authorized official phone:** (570) 849-8896

## Contact information

- **Practice address:** 575 N RIVER ST, WILKES BARRE TOWNSHIP, PA 18702-2634
- **Practice address phone:** (570) 208-3310
- **Mailing address:** 1005 SCOTT TOWN CTR \# 1008, BLOOMSBURG, PA 17815-2356
- **Mailing address phone:** (570) 849-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 12/14/2023