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NPI Code Detail

MEDICARE: MOBILITYPLUS REHABILITATION LTD

MEDICARE: MOBILITYPLUS REHABILITATION LTD
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881631299
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILITYPLUS REHABILITATION LTD
Provider Business Mailing Address
First Line : PO BOX 586
Second Line :
City : GWINNER
State : ND
Zip : 58040-0586
Country : US
Telephone Number : 701-678-2244
Fax Number : 701-678-2210
Provider Business Practice Location Address
First Line : 11 N MAIN ST
Second Line :
City : GWINNER
State : ND
Zip : 58040-4001
Country : US
Telephone Number : 701-678-2244
Fax Number : 701-678-2210
Authorized Official
Title or Position : OWNER
Name : RYAN R LORENZ
Credential : PT, DPT
Telephone Number : 701-840-0146
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/31/2017

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Directions to “MOBILITYPLUS REHABILITATION LTD ” Practice Location

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