Healthcare Provider Details

I. General information

NPI: 1326100702
Provider Name (Legal Business Name): REHAB CONCEPTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

753 BOSTON POST RD SUITE 101
GUILFORD CT
06437-2749
US

IV. Provider business mailing address

753 BOSTON POST RD SUITE 101
GUILFORD CT
06437-2749
US

V. Phone/Fax

Practice location:
  • Phone: 203-458-6268
  • Fax: 203-458-9230
Mailing address:
  • Phone: 203-458-6268
  • Fax: 203-458-9230

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: MARY JANE FEGAN
Title or Position: OWNER
Credential: PT
Phone: 203-458-6268