Organization
ENCOMPASS REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA CAROL JOHNSTON M.S., CCC-SLP (OWNER/PRESIDENT)
(276) 759-2982
Entity
Organization
Contact information
Practice address
1953 SAINT CLAIRS CREEK RD, CHILHOWIE, VA 24319-5856
(276) 759-2982
(888) 974-7823
Mailing address
166 TUSCAN CIR, JUPITER, FL 33458-3797
(276) 759-2982
(888) 974-7823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
12329
FL
235Z00000X
Speech-Language Pathologist
Primary
2202002762
VA
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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