Innovative Rehabilitation Llc

NPI 1114260494 - Clinic/Center - 261QR0401X

NPI Details
NPI 1114260494
Enumeration Date 04/04/2013
Last Updated 07/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHARLES ROBERT CHARLES
Position PRESIDENT
Phone (623) 738-0479
Fax (623) 738-0479
Practice Location
5146 W WHISPERING WIND DR
GLENDALE AZ, 85310-2910, US
Phone (623) 738-0479
Fax (623) 738-0479
Business Location
5146 W WHISPERING WIND DR
GLENDALE AZ, 85310-2910, US
Phone (623) 738-0479
Fax (623) 738-0479
Toxanomy
Taxonomy Code 261QR0401X
License State Arizona
License Number OTC5691
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According to our database, Innovative Rehabilitation Llc NPI is 1114260494, taxonomy code is 261QR0401X and license number is OTC5691, license state is located at Arizona. Innovative Rehabilitation Llc physically located at 5146 W Whispering Wind Dr, Glendale AZ, 85310-2910. NPI Number 1033115704 has the healthcare provider type.

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1114260494 NPI number is provided on an as is basis without warranty of any kind. 1114260494 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Rehabilitation Llc are for informational purposes only.