Organization Name: | CENTER FOR INDEPEND REHAB |
NPI Number: | 1699821058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDDIE G ROGES (PRESIDENT) |
Mailing Address: | 1134 Plumas Street Yuba City |
State: | CA US |
Postal Code: | 95991 |
Phone Number: | 5308229400 |
Fax Number: | 5306749744 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |