Organization
PROACTIVE REHABILITATION LLC
Active
Organization
PROACTIVE REHABILITATION LLC
Active
Other names
Proactive Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA LITT (PROVIDER RELATIONS SUPERVISOR)
(951) 696-9353
Entity
Organization
Contact information
Practice address
210 N AVIATION BLVD, MANHATTAN BEACH, CA 90266-7015
(951) 696-9353
Mailing address
600 CENTRAL AVE STE C, LAKE ELSINORE, CA 92530-2740
(951) 696-9353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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