Adult And Pediatric Rehabilitation

NPI 1114274784 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1114274784
Enumeration Date 08/13/2012
Last Updated 10/21/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SERGIO IVAN SERGIO
Position OWNER
Phone (928) 722-6050
Fax (928) 722-6094
Practice Location
1233 N MAIN STREET
10
SAN LUIS AZ, 85349, US
Phone (928) 722-6050
Fax (928) 722-6094
Business Location
PO BOX 5841
YUMA AZ, 85366-2490, US
Phone (928) 722-6050
Fax (928) 722-6094
Toxanomy
Taxonomy Code 332B00000X
License State Arizona
License Number C001071
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According to our database, Adult And Pediatric Rehabilitation NPI is 1114274784, taxonomy code is 332B00000X and license number is C001071, license state is located at Arizona. Adult And Pediatric Rehabilitation physically located at 1233 N Main Street, San Luis AZ, 85349. NPI Number 1033115704 has the healthcare provider type.

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1114274784 NPI number is provided on an as is basis without warranty of any kind. 1114274784 is maintained by the National Plan & Provider Enumeration System. The contents of Adult And Pediatric Rehabilitation are for informational purposes only.