Organization
ADVANCED REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISA CHUN KONG OTR/L, CHT (DIRECTOR)
(704) 865-6126
Entity
Organization
Contact information
Practice address
1437 E FRANKLIN BLVD STE 128, GASTONIA, NC 28054-4059
(704) 865-6126
(704) 865-4837
Mailing address
1437 E FRANKLIN BLVD STE 128, GASTONIA, NC 28054-4059
(704) 865-6126
(704) 865-4837
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
888
NC
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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