Healthcare Provider Details

I. General information

NPI: 1861844797
Provider Name (Legal Business Name): REHABCARE UNLIMITED CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2016
Last Update Date: 07/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16025 GALE AVE
CITY OF INDUSTRY CA
91745-1600
US

IV. Provider business mailing address

PO BOX 6369
WHITTIER CA
90609-6369
US

V. Phone/Fax

Practice location:
  • Phone: 562-858-7740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number111234
License Number StateCA

VIII. Authorized Official

Name: JOSEPHINE QUICHO
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 562-858-7740