Healthcare Provider Details
I. General information
NPI: 1023103330
Provider Name (Legal Business Name): REHABILITATION STRATEGIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5360 JACKSON DR SUITE 110
LA MESA CA
91942-6002
US
IV. Provider business mailing address
5360 JACKSON DR SUITE 110
LA MESA CA
91942-6002
US
V. Phone/Fax
- Phone: 619-667-7000
- Fax: 619-667-4315
- Phone: 619-667-7000
- Fax: 619-667-4315
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 11265 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 10428 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
JEANETTE
BARRACK
Title or Position: CEO
Credential: PT
Phone: 619-667-7000