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General NPI Number Information
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NPI Number | 1740922905
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Entity Type | Organization
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Legal Business Name | REHABMARK THERAPY AND WELLNESS,LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 2934 E GARVEY AVE S STE 250
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City | WEST COVINA
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State | CA
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Zip | 91791-2186
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Country | US
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Telephone | 909-802-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 2934 E GARVEY AVE S STE 250
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City | WEST COVINA
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State | CA
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Zip | 91791-2186
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Country | US
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Telephone | 909-802-5824
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Fax |
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Authorized Official
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Title or Position | OPERATING MANAGER/ CEO
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Name | MR. MARK ANTHONY PALACIOS
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Credential | PT
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Telephone | 909-802-5824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 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 #4
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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