Organization
CENTER FOR INDEPEND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE G ROGES CPO (PRESIDENT)
(209) 845-8231
Entity
Organization
Contact information
Practice address
1134 PLUMAS STREET, YUBA CITY, CA 95991
(530) 822-9400
(530) 674-9744
Mailing address
693 HI TECH PARKWAY, OAKDALE, CA 95361
(209) 845-8231
(209) 845-2883
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Enumeration date
01/26/2007
Last updated
12/14/2007
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