Organization
MEDICAL REHABILITATION THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABION MCGHEE THERAPEUTIC (OWNER)
(323) 641-3009
Entity
Organization
Contact information
Practice address
1805 W AVENUE K STE 100, LANCASTER, CA 93534-5925
(661) 367-1433
Mailing address
1805 W AVENUE K STE 100, LANCASTER, CA 93534-5925
(323) 641-3009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
226300000X
Kinesiotherapist
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QS1000X
Student Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/20/2024
Last updated
11/04/2024
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