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Organization

REHAB, ETC., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PHYLLIS KNOSE (VICE PRESIDANT)
(901) 759-1282
Entity
Organization

Contact information

Practice address
871 RIDGEWAY LOOP RD STE 100, MEMPHIS, TN 38120-4026
(901) 759-1282
(901) 759-1290
Mailing address
871 RIDGEWAY LOOP RD STE 100, MEMPHIS, TN 38120-4026
(901) 759-1282
(901) 759-1290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
204667
TN
2251G0304X
Geriatric Physical Therapist
204667
TN
2251N0400X
Neurology Physical Therapist
204667
TN
2251X0800X
Orthopedic Physical Therapist
204667
TN
225400000X
Rehabilitation Practitioner
204667
TN
235Z00000X
Speech-Language Pathologist
204667
TN
261QR0400X
Rehabilitation Clinic/Center
0446575
TN

Other

Enumeration date
05/15/2007
Last updated
09/01/2021
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