Healthcare Provider Details

I. General information

NPI: 1154319101
Provider Name (Legal Business Name): ADVANCED REHABILITATION,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 11TH ST SUITE C
TELL CITY IN
47586-2130
US

IV. Provider business mailing address

1020 11TH ST SUITE C
TELL CITY IN
47586-2130
US

V. Phone/Fax

Practice location:
  • Phone: 812-547-7770
  • Fax: 812-547-7784
Mailing address:
  • Phone: 812-547-7770
  • Fax: 812-547-7784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH A REED
Title or Position: PRESIDENT
Credential: P.T
Phone: 812-547-7770