Healthcare Provider Details
I. General information
NPI: 1891807244
Provider Name (Legal Business Name): ACADIAN REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
175 S PARK ST
RENO NV
89502-1049
US
IV. Provider business mailing address
175 S PARK ST
RENO NV
89502-1049
US
V. Phone/Fax
- Phone: 775-333-6600
- Fax: 775-333-6601
- Phone: 775-333-6600
- Fax: 775-333-6601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
M
STEVENS
Title or Position: PRESIDENT
Credential: CPO
Phone: 775-333-6600