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NPI Code Detail

MEDICARE: REHAB PROFESSIONALS, LLC

MEDICARE: REHAB PROFESSIONALS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1114962974
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB PROFESSIONALS, LLC
Provider Business Mailing Address
First Line : 3570 WARRENSVILLE CENTER RD
Second Line : SUITE 102-D
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5288
Country : US
Telephone Number : 440-580-0088
Fax Number : 440-580-0088
Provider Business Practice Location Address
First Line : 3570 WARRENSVILLE CENTER RD
Second Line : SUITE 102-D
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5288
Country : US
Telephone Number : 440-580-0088
Fax Number : 440-580-0088
Authorized Official
Title or Position : SOLE MEMBER
Name : DR. BORIS PICHKAR
Credential : PT, DPT
Telephone Number : 440-580-0088
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/31/2016

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