Organization
REHAB MANAGED CARE OF ARIZONA, INC
Active
Organization
REHAB MANAGED CARE OF ARIZONA, INC
Active
Other names
VibrantCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MCCORMICK (VP OF REVENUE CYCLE MANAGEMENT)
(916) 789-8115
Entity
Organization
Contact information
Practice address
14090 SOUTHWEST FWY STE 101, SUGAR LAND, TX 77478-3678
(916) 782-1212
(916) 773-1481
Mailing address
PO BOX 846951, LOS ANGELES, CA 90084-6951
(916) 789-8115
(916) 773-1481
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462281301
—
TX
Enumeration date
06/13/2012
Last updated
11/22/2023
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