Healthcare Provider Details

I. General information

NPI: 1124239769
Provider Name (Legal Business Name): REMEDY REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 ELM AVE STE 252
AUBURN CA
95603-4525
US

IV. Provider business mailing address

366 ELM AVE STE 252
AUBURN CA
95603-4525
US

V. Phone/Fax

Practice location:
  • Phone: 916-765-1737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number14399
License Number StateCA

VIII. Authorized Official

Name: MS. SANDRA BUNTING
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 916-973-8673