# TALLASSEE REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crain Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912055690
- **Authorized official:** MS. PAMELA VAN ETTEN (DIR OF CRED & ACC PAYABLE)
- **Authorized official phone:** (334) 283-8032

## Contact information

- **Practice address:** 301 WRIGHT ST, TUSKEGEE, AL 36083-1558
- **Practice address phone:** (334) 725-1261
- **Practice address fax:** (334) 725-1262
- **Mailing address:** 1000 FRIENDSHIP RD, TALLASSEE, AL 36078-1265
- **Mailing address phone:** (334) 283-8032
- **Mailing address fax:** (334) 283-1136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 11/04/2024