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General NPI Number Information
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NPI Number | 1316017163
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Entity Type | Organization
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Legal Business Name | FOREREHAB THERAPY SERVICES LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2910 MCCLURE ST
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 510-836-3677
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Fax | 510-836-1938
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Provider Business Mailing Address
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Address Line | 3 CROW CANYON CT
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City | SAN RAMON
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State | CA
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Zip | 94583
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Country | US
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Telephone | 925-855-0881
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Fax | 925-855-9297
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Authorized Official
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Title or Position | MANAGER
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Name | JEREMY E GRIMES
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Credential |
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Telephone | 925-855-0881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | 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 | 225X00000X
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Taxonomy Name | 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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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