Organization
CENTER FOR INDEPENDENT REHABILITATIVE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CREE (CONTRACT CORDINATOR)
(209) 845-8231
Entity
Organization
Contact information
Practice address
693 HI TECH PARKWAY, OAKDALE, CA 95361
(209) 845-8231
(209) 845-2883
Mailing address
693 HI TECH PARKWAY, OAKDALE, CA 95361
(209) 845-8231
(209) 845-2883
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000861
—
CA
Enumeration date
06/25/2006
Last updated
09/26/2014
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