| Ideal Therapy Rehabilitative Services Ii, Llc | |
|
6572 River Park Dr Ste 101 Riverdale GA 30274-2214 | |
| (678) 626-1833 | |
| (678) 626-1844 |
| Full Name | Ideal Therapy Rehabilitative Services Ii, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6572 River Park Dr Ste 101, Riverdale, Georgia |
| Authorized Official Name and Position | Samson Saint-remy (CEO) |
| Authorized Official Contact | 6786261833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Therapy Rehabilitative Services Ii, Llc 6572 River Park Dr Ste 101 Riverdale GA 30274-2214 Ph: (678) 626-1833 | Ideal Therapy Rehabilitative Services Ii, Llc 6572 River Park Dr Ste 101 Riverdale GA 30274-2214 Ph: (678) 626-1833 |
| NPI Number | 1912548959 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 11/26/2024 |
| Medicare PECOS PAC ID | 0042646788 |
|---|---|
| Medicare Enrollment ID | O20210422000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912548959 | NPI | - | NPPES |
| Provider Name | Samson Saint-remy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043701162 PECOS PAC ID: 5395094650 Enrollment ID: I20180820001721 |
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