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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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