Provider Demographics
NPI:1407294457
Name:RENDSBURG REHABILITATION LLC
Entity Type:Organization
Organization Name:RENDSBURG REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RENDSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:610-246-2793
Mailing Address - Street 1:221 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1821
Mailing Address - Country:US
Mailing Address - Phone:610-246-2793
Mailing Address - Fax:610-660-8146
Practice Address - Street 1:221 UPLAND RD
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1821
Practice Address - Country:US
Practice Address - Phone:610-246-2793
Practice Address - Fax:610-660-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT 011103L225100000X
NJ40QA00183700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty