Organization
RAINBOW REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTEN WILSON PT (OWNER)
(678) 429-0272
Entity
Organization
Contact information
Practice address
141 FUTRAL RD, GRIFFIN, GA 30224-7455
(678) 429-0272
(678) 289-8535
Mailing address
4016 EMERSON CT, MCDONOUGH, GA 30252-7077
(678) 429-0272
(678) 408-9698
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/15/2014
Last updated
06/25/2025
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