MEDICARE: REHAB SOLUTIONS,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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1750553913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB SOLUTIONS,LLC

Provider Business Mailing Address
First Line	:	2905 CANTABERRY DR
Second Line	:
City	:	JEFFERSON CTY
State	:	MO
Zip	:	65109-9273
Country	:	US
Telephone Number	:	573-634-7983
Fax Number	:	573-634-7983

Provider Business Practice Location Address
First Line	:	2905 CANTABERRY DR
Second Line	:
City	:	JEFFERSON CTY
State	:	MO
Zip	:	65109-9273
Country	:	US
Telephone Number	:	573-634-7983
Fax Number	:	573-634-7983

Authorized Official
Title or Position	:	MANAGER
Name	:	LITO B VILLANUEVA
Credential	:	PT
Telephone Number	:	573-634-7983

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	03/27/2008

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