Interstate Rehab

NPI #1376726349 in Anaheim, California

Provider Information

NPI Number: 1376726349
Entity Type: Organization
Organization Name: Interstate Rehab
Primary Specialty: Physical Therapist
Enumeration Date: Dec 12, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 3055 W ORANGE AVE
Address 2: SUITE 202
City: Anaheim
State: California
ZIP Code: 92804-3159
Phone: (818) 244-5656

Authorized Official

Name: MR. JAMES PIETSCH
Title: PRESIDENT
Phone: (818) 244-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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