Organization
REHABAUTHORITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (OWNER, COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
701 DEMERS AVE, SUITE B, GRAND FORKS, ND 58201-4506
(701) 772-2200
(701) 772-2800
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 288-1155
(208) 288-0424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
ID
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
25
ND
332B00000X
Durable Medical Equipment & Medical Supplies
WHOL1275
ND
Other
Enumeration date
01/24/2006
Last updated
07/21/2022
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