Healthcare Provider Details

I. General information

NPI: 1487717153
Provider Name (Legal Business Name): REHAB SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N CRESCENT DR SUITE 130
BEVERLY HILLS CA
90210-4860
US

IV. Provider business mailing address

415 N CRESCENT DR SUITE 130
BEVERLY HILLS CA
90210-4860
US

V. Phone/Fax

Practice location:
  • Phone: 310-273-0877
  • Fax: 310-273-1189
Mailing address:
  • Phone: 310-273-0877
  • Fax: 310-273-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT13924
License Number StateCA

VIII. Authorized Official

Name: GAIL PEKELIS
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT
Phone: 310-273-0877