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Organization
REHAB LABS
Active
Organization
REHAB LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINORA NAVA OLESON (VICE PRESIDENT)
(909) 553-9424
Entity
Organization
Contact information
Practice address
72855 FRED WARING DR STE C20, PALM DESERT, CA 92260-9372
(760) 404-0360
(949) 269-0672
Mailing address
38292 WILD POPPY LN, YUCAIPA, CA 92399-9449
(909) 553-9424
(949) 269-0672
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
261QR1100X
Research Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
06/16/2022
Last updated
08/22/2022
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