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NPI Code Detail

MEDICARE: INTEGRATED INJURY MANAGEMENT SERVICES INC

MEDICARE: INTEGRATED INJURY MANAGEMENT SERVICES INC
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/Center1761HI
2261QP2000XPhysical Therapy Clinic/Center11970CA

General Provider Information

NPI Number : 1215284666
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED INJURY MANAGEMENT SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 2367
Second Line :
City : RIVERSIDE
State : CA
Zip : 92516-2367
Country : US
Telephone Number : 800-515-4552
Fax Number : 800-515-4552
Provider Business Practice Location Address
First Line : 2900 ADAMS ST
Second Line : C130
City : RIVERSIDE
State : CA
Zip : 92504-4335
Country : US
Telephone Number : 800-515-4552
Fax Number : 800-515-4552
Authorized Official
Title or Position : PRESIDENT
Name : TERENCE LAWSON
Credential : PT
Telephone Number : 800-515-4552
Provider Enumeration Date : 08/03/2012
Last Update Date : 06/09/2014

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Directions to “INTEGRATED INJURY MANAGEMENT SERVICES INC ” Practice Location

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