Doctor Name: | MR. BENJAMIN RUTANHIRA |
NPI Number: | 1336385194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 13800 Heacock St Suite # C236 Moreno Valley, CA - 925533339 |
Business Phone Number: | 9516530819 |
Business Fax Number: | 9516562614 |
Mailing Address: | 1095 Rain Lily Way, BEAUMONT |
State: | CA |
Postal Code: | 922238434 |
Phone Number: | 9517557006 |
Fax Number: | 9517557157 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 05/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |