Provider Demographics
NPI:1275028581
Name:REHAB ASSOCIATES LLC
Entity Type:Organization
Organization Name:REHAB ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:541-667-3657
Mailing Address - Street 1:600 NW 11TH ST STE E31
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-8604
Mailing Address - Country:US
Mailing Address - Phone:541-667-3657
Mailing Address - Fax:541-667-3659
Practice Address - Street 1:600 NW 11TH ST STE E31
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-8604
Practice Address - Country:US
Practice Address - Phone:541-667-3657
Practice Address - Fax:541-667-3659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty