Organization
SELECT REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA GARDINA (PRESIDENT)
(847) 441-5593
Entity
Organization
Contact information
Practice address
1000 TWINRIDGE LN, NORTH CHESTERFIELD, VA 23235-5248
(804) 320-5629
(434) 792-1981
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(847) 441-5593
(847) 386-5196
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978200
—
VA
Enumeration date
08/20/2006
Last updated
04/12/2017
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