Organization
WESTSIDE REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TENESSA JEAN REHMER (PRACTICE MANAGER/VP/SECRETARY)
(573) 374-7579
Entity
Organization
Contact information
Practice address
126 S. MAIN, LAURIE, MO 65038-1099
(573) 374-7579
(573) 374-1399
Mailing address
P.O. BOX 1099, LAURIE, MO 65038-1099
(573) 374-7579
(573) 374-1399
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
MO
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578000507
—
MO
Enumeration date
10/03/2006
Last updated
10/28/2011
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