Organization Name: | EARLY REHAB SERVICES INC |
NPI Number: | 1720209141 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANTOSHKUMAR MUNDADA (SECRETARY) |
Mailing Address: | 707 Westwind Dr New Lenox |
State: | IL US |
Postal Code: | 604519219 |
Phone Number: | 7087438801 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |