Provider Demographics
NPI:1083091714
Name:REHABCARE
Entity Type:Organization
Organization Name:REHABCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHIOW-SHIN
Authorized Official - Middle Name:JESSICA
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:858-386-2388
Mailing Address - Street 1:13075 EVENING CREEK DR S
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-8101
Mailing Address - Country:US
Mailing Address - Phone:858-486-0410
Mailing Address - Fax:858-486-0440
Practice Address - Street 1:13075 EVENING CREEK DR S
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-8101
Practice Address - Country:US
Practice Address - Phone:858-486-0410
Practice Address - Fax:858-486-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT2615320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities