Healthcare Provider Details
I. General information
NPI: 1861442881
Provider Name (Legal Business Name): ALLIED REHABILITATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2006
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 SOUTH FRANKLIN STREET SUITE #201
WAKE FOREST NC
27587-2797
US
IV. Provider business mailing address
900 SOUTH FRANKLIN STREET SUITE #201
WAKE FOREST NC
27587-2797
US
V. Phone/Fax
- Phone: 919-556-1700
- Fax: 919-556-1245
- Phone: 919-556-1700
- Fax: 919-556-1245
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TERESA
F.
HALE
Title or Position: OWNER/PRESIDENT
Credential: PT
Phone: 919-556-1700