Prorehab PC

NPI #1437675535 in Belleville, Illinois

Provider Information

NPI Number: 1437675535
Entity Type: Organization
Organization Name: Prorehab PC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 21, 2017
Last Updated: Aug 21, 2017

Practice Location

Address: 1915 CARLYLE AVE
Address 2: STE D
City: Belleville
State: Illinois
ZIP Code: 62220
Phone: (618) 310-0305

Authorized Official

Name: GERI COOK
Title: VP OF BILLING OPERATIONS
Phone: (630) 575-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center	261Q00000X	Primary

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