Healthcare Provider Details

I. General information

NPI: 1912118076
Provider Name (Legal Business Name): THE REHAB GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40680 CALIFORNIA OAKS RD SUITE 2A
MURRIETA CA
92562-5755
US

IV. Provider business mailing address

40680 CALIFORNIA OAKS RD SUITE 2A
MURRIETA CA
92562-5755
US

V. Phone/Fax

Practice location:
  • Phone: 951-894-4800
  • Fax: 951-894-4804
Mailing address:
  • Phone: 951-894-4800
  • Fax: 951-894-4804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARCY LYNN TRUTALLI
Title or Position: COO
Credential: MPT
Phone: 951-894-4800