Organization
REBOUND PHYSICAL THERAPY II, LLC
Active
Other names
Rebound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDSON (MED BILLING & INSURANCE MANAGER)
(541) 585-2529
Entity
Organization
Contact information
Practice address
1717 NE 2ND ST, REDMOND, OR 97756-8249
(541) 504-2350
(541) 923-7550
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500609593
—
OR
01
—
523039000
BLUE CROSS
OR
Enumeration date
07/19/2010
Last updated
12/07/2015
Update your record
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