Organization
WASHINGTON OUTPATIENT REHABILITATION CENTER, A JOINT VENTURE
Active
Organization
WASHINGTON OUTPATIENT REHABILITATION CENTER, A JOINT VENTURE
Active
Other names
Washington Outpatient Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY FARBER (PRESIDENT/CEO)
(510) 745-6500
Entity
Organization
Contact information
Practice address
39141 CIVIC CENTER DRIVE, 120, FREMONT, CA 94538-5831
(510) 794-9672
(510) 792-8138
Mailing address
39141 CIVIC CENTER DRIVE, 120, FREMONT, CA 94538-5831
(510) 794-9672
(510) 792-8138
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT001080
—
CA
01
—
ZZZ34510Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/16/2006
Last updated
03/03/2015
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