Organization
REBOUND PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY LAWTON (DIRECTOR)
(505) 662-2225
Entity
Organization
Contact information
Practice address
4717 QUEMAZON, LOS ALAMOS, NM 87544-1889
(505) 662-2225
Mailing address
4717 QUEMAZON, LOS ALAMOS, NM 87544-1889
(505) 662-2225
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
1451
NM
261QP2000X
Physical Therapy Clinic/Center
Primary
1558
NM
261QP2000X
Physical Therapy Clinic/Center
3141
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12121481
AMERICAN MEDICAL SECURITY
WI
01
—
233792
UNITED HEALTHCARE
UT
01
—
609045000
US DEPT OF LABOR
DC
Enumeration date
03/14/2006
Last updated
11/08/2013
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