| Mobile Rehab Pllc | |
|
3810 Clairmont Rd, Bismark, ND 58503 | |
| (406) 939-3848 | |
| Not Available |
| Full Name | Mobile Rehab Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 3810 Clairmont Rd, Bismark, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568057917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Bryce O Fast |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821382508 PECOS PAC ID: 9234308651 Enrollment ID: I20110801000695 |
| Provider Name | Nicole Halderman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689199002 PECOS PAC ID: 2961766803 Enrollment ID: I20180501001826 |
| Provider Name | Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023633443 PECOS PAC ID: 6709200702 Enrollment ID: I20200723001821 |
| Provider Name | Matthew George Leblanc |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326477654 PECOS PAC ID: 6002218674 Enrollment ID: I20210706002537 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Rehab Pllc 3810 Clairmont Rd, Bismark, ND 58503 Ph: (406) 939-3848 | Mobile Rehab Pllc 3810 Clairmont Rd, Bismark, ND 58503 Ph: (406) 939-3848 |