Provider Demographics
NPI:1376611244
Name:PERSONALIZED REHAB CONSULTANTS INC
Entity Type:Organization
Organization Name:PERSONALIZED REHAB CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PERSONALIZED REHAB CONSULTANTS
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:412-952-1447
Mailing Address - Street 1:208 ORANGE STREET
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4127
Mailing Address - Country:US
Mailing Address - Phone:412-952-1447
Mailing Address - Fax:412-856-0298
Practice Address - Street 1:401 NORTH HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206
Practice Address - Country:US
Practice Address - Phone:412-361-5003
Practice Address - Fax:412-361-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation