| Prorehab, Inc | |
|
303 E 14th St Owensboro KY 42303-3056 | |
| (270) 926-7779 | |
| Not Available |
| Full Name | Prorehab, Inc |
|---|---|
| Speciality | Physical Therapist |
| Location | 303 E 14th St, Owensboro, Kentucky |
| Authorized Official Name and Position | Andrea L. Baumann (COO) |
| Authorized Official Contact | 8127597473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prorehab, Inc Po Box 5629 Evansville IN 47716-5629 Ph: (812) 401-3258 | Prorehab, Inc 303 E 14th St Owensboro KY 42303-3056 Ph: (270) 926-7779 |
| NPI Number | 1801480223 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801480223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Secondary |
| 225100000X | Physical Therapist | (NU) | Primary |
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