Innovative Senior Rehabilitation Services Inc.

NPI #1164584058 in Stockton, California

Provider Information

NPI Number: 1164584058
Entity Type: Organization
Organization Name: Innovative Senior Rehabilitation Services Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Dec 15, 2006
Last Updated: Jul 10, 2011

Practice Location

Address: 3318 BROOKSIDE RD
City: Stockton
State: California
ZIP Code: 95219-2343
Phone: (209) 951-3770

Authorized Official

Name: ELIZABETH JOY HADLEY
Title: VP CFO
Phone: (916) 690-0757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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