Organization
RAPHA REHABILITIES
Active
Other names
Rapha Rehabilities
Organization subpart
No
Provider details
NPI number
Authorized official
JOSCELYN WASHINGTON MPT (CEO/OWNER)
(443) 992-3236
Entity
Organization
Contact information
Practice address
4959 PALO VERDE ST STE 110B, MONTCLAIR, CA 91763-2303
(909) 971-3092
(310) 861-1617
Mailing address
4959 PALO VERDE ST STE 109C, MONTCLAIR, CA 91763-2358
(909) 971-3092
(310) 861-1617
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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