Organization
PEDIATRIC REHABILITATION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA E. JACK (OWNER/PHYSICAL THERAPIST)
(912) 713-0277
Entity
Organization
Contact information
Practice address
106 OGLETHORPE PROFESSIONAL CT, SUITE A, SAVANNAH, GA 31406-3695
(912) 351-4793
(888) 429-3741
Mailing address
10 MALL CT STE B, SAVANNAH, GA 31406-3691
(912) 351-4793
(888) 429-3741
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 009479
GA
225X00000X
Occupational Therapist
OT004895
GA
225XP0200X
Pediatric Occupational Therapist
OT002973
GA
Other
Enumeration date
07/20/2010
Last updated
07/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us