Healthcare Provider Details

I. General information

NPI: 1922895754
Provider Name (Legal Business Name): REHABCORE THERAPY AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 MONTAGUE EXPY
MILPITAS CA
95035-3869
US

IV. Provider business mailing address

381 MONTAGUE EXPY
MILPITAS CA
95035-3869
US

V. Phone/Fax

Practice location:
  • Phone: 323-698-4999
  • Fax:
Mailing address:
  • Phone: 323-698-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JYOTI DHUMALE DIGWALEKAR
Title or Position: OCCUPATIONAL THERAPIST
Credential:
Phone: 323-698-4999