Organization
REBOUND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDSON (COMPLIANCE COORDINATOR)
(541) 585-2529
Entity
Organization
Contact information
Practice address
425 N MAIN ST, PRINEVILLE, OR 97754-1855
(541) 416-7476
(541) 416-7478
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0965536-8
OR
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234859
—
OR
Enumeration date
03/30/2007
Last updated
05/07/2009
Update your record
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