Organization
REHAB OUTREACH, L.L.C.
Active
Other names
Renaissance Therapy of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE A. DULLE (PRESIDENT)
(314) 506-8800
Entity
Organization
Contact information
Practice address
1100 CLUB VILLAGE DR, SUITE 103, COLUMBIA, MO 65203-4409
(573) 256-2777
(573) 256-2764
Mailing address
2127 INNERBELT BUSINESS CENTER DR, SUITE 107, SAINT LOUIS, MO 63114-5700
(314) 506-8800
(314) 506-8880
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295784197
MEDICARE NPI
MO
Enumeration date
05/08/2006
Last updated
07/22/2008
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