MEDICARE: REHAB MOBILITY SPECIALISTS, 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
1	225X00000X	Occupational Therapist	OC004717L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1837960	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1275536724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB MOBILITY SPECIALISTS, INC

Provider Business Mailing Address
First Line	:	922 GRAHAM ST
Second Line	:
City	:	BELLE VERNON
State	:	PA
Zip	:	15012-1632
Country	:	US
Telephone Number	:	724-244-7743
Fax Number	:	724-930-8031

Provider Business Practice Location Address
First Line	:	922 GRAHAM ST
Second Line	:
City	:	BELLE VERNON
State	:	PA
Zip	:	15012-1632
Country	:	US
Telephone Number	:	724-244-7743
Fax Number	:	724-930-8031

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRIS D CHOVAN
Credential	:
Telephone Number	:	724-244-7743

Provider Enumeration Date	:	05/28/2005
Last Update Date	:	06/02/2009

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Directions to “REHAB MOBILITY SPECIALISTS, INC ” Practice Location

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