Organization Name: | 3M REHABILITATION SERVICES INC |
NPI Number: | 1013194851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY J JACKSON (BILLER) |
Mailing Address: | 7961 W Country Club Ln Elmwood Park |
State: | IL US |
Postal Code: | 607073533 |
Phone Number: | 7084535112 |
Fax Number: | 7054535120 |
NPI Enumeration Date: | 01/23/2008 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |