Organization
NEURO REHAB CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DAVIS OTRL (CEO)
(480) 789-2980
Entity
Organization
Contact information
Practice address
31309 TEMECULA PKWY STE 101, TEMECULA, CA 92592-6826
(951) 595-3268
(951) 266-5759
Mailing address
33175 TEMECULA PKWY # A-124, TEMECULA, CA 92592-7310
(951) 595-3268
(951) 266-5759
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OT13729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA137889
MEDICARE PTAN
—
Enumeration date
08/06/2014
Last updated
11/12/2020
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