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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 (MEDICAL BILLING & INS MANAGER)
(541) 585-2529
Entity
Organization
Contact information
Practice address
1303 NE CUSHING DR, SUITE 150, BEND, OR 97701-3887
(541) 382-7875
(541) 382-2181
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
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
523039000
REGENCE BLUE CROSS
OR
Enumeration date
04/29/2009
Last updated
01/20/2014
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