Healthcare Provider Details

I. General information

NPI: 1578811246
Provider Name (Legal Business Name): NEUROLOGICAL REHAB CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52631 STATE HIGHWAY 96
SEIAD VALLEY CA
96086-8802
US

IV. Provider business mailing address

52631 STATE HIGHWAY 96
SEIAD VALLEY CA
96086-8802
US

V. Phone/Fax

Practice location:
  • Phone: 916-295-7560
  • Fax: 530-496-3335
Mailing address:
  • Phone: 916-295-7560
  • Fax: 530-496-3335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARGARET M JANKOWSKI
Title or Position: OWNER
Credential:
Phone: 916-295-7560