Organization
REBOUND PHYSICAL THERAPY II, LLC
Active
Other names
Rebound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDSON (MEDICAL BILLING & INS MANAGER)
(541) 585-2529
Entity
Organization
Contact information
Practice address
1160 SW SIMPSON AVE, SUITE 200, BEND, OR 97702-3542
(541) 322-9045
(541) 322-9044
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500609593
—
OR
Enumeration date
07/13/2011
Last updated
01/27/2014
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