Healthcare Provider Details

I. General information

NPI: 1689722308
Provider Name (Legal Business Name): REHAB PRODUCTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 DIVISION AVENUE SOUTH
CAVALIER ND
58220
US

IV. Provider business mailing address

708 DIVISION AVENUE SOUTH
CAVALIER ND
58220
US

V. Phone/Fax

Practice location:
  • Phone: 701-265-4927
  • Fax:
Mailing address:
  • Phone: 701-265-4927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: PAMELA J JOHNSON
Title or Position: NATIONAL PROJECT MANAGER
Credential:
Phone: 612-378-7235