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Organization
NORTHWEST REHABILITATION ASSOCIATES, INC.
Active
Organization
NORTHWEST REHABILITATION ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL (PRESIDENT)
(093) 531-9882
Entity
Organization
Contact information
Practice address
1025 2ND ST. NW., WEST SALEM, OR 97304
(503) 371-0779
(503) 371-0886
Mailing address
3270 LIBERTY RD S, SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2706
OR
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/11/2005
Last updated
12/06/2023
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