Healthcare Provider Details

I. General information

NPI: 1629848353
Provider Name (Legal Business Name): REHABMASTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 DANBERRY LN
DALY CITY CA
94014-3447
US

IV. Provider business mailing address

1308 DANBERRY LN
DALY CITY CA
94014-3447
US

V. Phone/Fax

Practice location:
  • Phone: 628-219-8386
  • Fax:
Mailing address:
  • Phone: 628-219-8386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: VIJIT GUPTA
Title or Position: PRESIDENT
Credential:
Phone: 628-219-8386