Providence Rehab Group, Inc.

NPI #1891307112 in El Cerrito, California

Provider Information

NPI Number: 1891307112
Entity Type: Organization
Organization Name: Providence Rehab Group, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Aug 18, 2020
Last Updated: Aug 18, 2020

Practice Location

Address: 3230 CARLSON BLVD
City: El Cerrito
State: California
ZIP Code: 94530-3907
Phone: (510) 525-3212

Authorized Official

Name: MS. RUEL WARRINER ABIAD, OT
Title: CEO
Phone: (415) 225-0126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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