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NPI Code Detail

MEDICARE: CYPRESS REHAB GROUP

MEDICARE: CYPRESS REHAB GROUP
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
1225100000XPhysical TherapistPT15002CA

General Provider Information

NPI Number : 1447237953
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYPRESS REHAB GROUP
Provider Business Mailing Address
First Line : 112 HARVARD AVE
Second Line : #260
City : CLAREMONT
State : CA
Zip : 91711-4716
Country : US
Telephone Number : 909-981-7251
Fax Number : 909-982-1257
Provider Business Practice Location Address
First Line : 112 HARVARD AVE
Second Line : #260
City : CLAREMONT
State : CA
Zip : 91711-4716
Country : US
Telephone Number : 909-981-7251
Fax Number : 909-982-1257
Authorized Official
Title or Position : PRESIDENT
Name : MR. JERRY FRANK JUHL
Credential : RPT
Telephone Number : 909-981-7251
Provider Enumeration Date : 12/27/2005
Last Update Date : 08/22/2020

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Directions to “CYPRESS REHAB GROUP ” Practice Location

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