Organization
REHAB ENGINEERING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RYAN FREDRICK CPO (OWNER)
(850) 656-3599
Entity
Organization
Contact information
Practice address
311 N DAWSON ST, THOMASVILLE, GA 31792-5132
(877) 815-6557
(850) 656-6483
Mailing address
1719 MAHAN DR, TALLAHASSEE, FL 32308-5201
(850) 656-3599
(850) 656-6483
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
14
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
746347392A
—
GA
Enumeration date
08/20/2008
Last updated
06/03/2014
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