Organization
PROREHAB PC
Active
Parent organization
PROREHAB PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROREHAB PC
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
2900 TRIMBLE RD STE 101, COLUMBIA, MO 65201-7180
(573) 397-7036
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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