Healthcare Provider Details

I. General information

NPI: 1629307137
Provider Name (Legal Business Name): SOUTHEAST REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 MERIDIAN BLVD STE. 330
FRANKLIN TN
37067-6363
US

IV. Provider business mailing address

2555 MERIDIAN BLVD STE. 330
FRANKLIN TN
37067-6363
US

V. Phone/Fax

Practice location:
  • Phone: 615-786-0850
  • Fax: 615-786-0851
Mailing address:
  • Phone: 615-786-0850
  • Fax: 615-786-0851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ZEMBAR
Title or Position: PRESIDENT
Credential:
Phone: 615-786-0850