Organization
REBOUND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDSON (COMPLIANCE COORDINATOR)
(541) 585-2529
Entity
Organization
Contact information
Practice address
974 SW VETERANS WAY, SUITE 4, REDMOND, OR 97756-2564
(541) 504-2350
(541) 504-2354
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0965535-8
OR
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
0965535-8
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234859
—
OR
Enumeration date
03/30/2007
Last updated
05/05/2009
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