Organization
I AM REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GILLARD (OWNER)
(620) 875-3801
Entity
Organization
Contact information
Practice address
405 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8799
(620) 875-3801
Mailing address
829 W 640TH AVE, GIRARD, KS 66743-1828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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