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Organization
REHAB SPECIALISTS I, LLC
Active
Organization
REHAB SPECIALISTS I, LLC
Active
Other names
Consonus Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACI TONE (CORPORATE CONTROLLER)
(971) 206-5125
Entity
Organization
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
(971) 206-5211
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5200
(971) 206-5211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210039
—
OR
Enumeration date
01/15/2007
Last updated
07/14/2015
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