Renewal Rehab LLC

NPI #1841963741 in Peru, Indiana

Provider Information

NPI Number: 1841963741
Entity Type: Organization
Organization Name: Renewal Rehab LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 27, 2021
Last Updated: Aug 9, 2021

Practice Location

Address: 1200 KITTY HAWK
City: Peru
State: Indiana
ZIP Code: 46970-3725
Phone: (765) 689-7305

Authorized Official

Name: ELIEZER MEYSTEL
Title: CEO
Phone: (847) 983-8750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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