Prorehab PC

NPI #1467949040 in Cape Girardeau, Missouri

Provider Information

NPI Number: 1467949040
Entity Type: Organization
Organization Name: Prorehab PC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 18, 2018
Last Updated: Apr 18, 2018

Practice Location

Address: 2136 WILLIAM ST STE 115
City: Cape Girardeau
State: Missouri
ZIP Code: 63703-5830
Phone: (573) 826-4033

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING MANAGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

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

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