Organization
REHAB ENTERPRISES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODILIA EGBERS (OWNER)
(417) 766-9819
Entity
Organization
Contact information
Practice address
1097 INDIAN GROVE LN, ROGERSVILLE, MO 65742-7669
(417) 766-9819
Mailing address
1097 INDIAN GROVE LN, ROGERSVILLE, MO 65742-7669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG2952
RAILROAD MEDICARE PIN
MO
Enumeration date
07/27/2006
Last updated
06/21/2018
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