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General NPI Number Information
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NPI Number | 1033533732
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Entity Type | Organization
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Legal Business Name | RAINBOW REHAB, LLC
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Dates
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Enumeration Date | 02/15/2014
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 141 FUTRAL RD
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City | GRIFFIN
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State | GA
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Zip | 30224-7455
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Country | US
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Telephone | 678-429-0272
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Fax | 678-289-8535
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Provider Business Mailing Address
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Address Line | 4016 EMERSON CT
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City | MCDONOUGH
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State | GA
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Zip | 30252-7077
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Country | US
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Telephone | 678-429-0272
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Fax | 678-408-9698
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTEN WILSON
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Credential | PT
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Telephone | 678-429-0272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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