Provider Demographics
NPI:1205043114
Name:RDR PHYSICAL THERAPY SERVICES, INC
Entity Type:Organization
Organization Name:RDR PHYSICAL THERAPY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSE ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RECENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-458-4704
Mailing Address - Street 1:PO BOX 7863
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-7863
Mailing Address - Country:US
Mailing Address - Phone:626-458-4707
Mailing Address - Fax:
Practice Address - Street 1:100 S RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3166
Practice Address - Country:US
Practice Address - Phone:626-458-4704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital