Provider Demographics
NPI:1326293317
Name:REHAB DYNAMICS, INC
Entity Type:Organization
Organization Name:REHAB DYNAMICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:PINEDA
Authorized Official - Last Name:SONGCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-402-7134
Mailing Address - Street 1:1707 N EDISON BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1723
Mailing Address - Country:US
Mailing Address - Phone:310-402-7134
Mailing Address - Fax:
Practice Address - Street 1:1707 N EDISON BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1723
Practice Address - Country:US
Practice Address - Phone:310-402-7134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty