Organization
REBOUND PHYSICAL THERAPY II, LLC
Active
Other names
Rebound Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RICHARDSON (COMPLIANCE COORDINATOR)
(541) 585-2529
Entity
Organization
Contact information
Practice address
155 SW CENTURY DR, SUITE 100, BEND, OR 97702-1657
(541) 322-9045
(541) 322-9044
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
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234859
—
OR
01
—
523039000
REGENCE BLUE CROSS
OR
Enumeration date
04/29/2009
Last updated
06/24/2009
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