Provider Demographics
NPI:1417056227
Name:RESULTS REHABILITATION, INC.
Entity Type:Organization
Organization Name:RESULTS REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEMENTERA
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:619-437-6450
Mailing Address - Street 1:1224 10TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-3416
Mailing Address - Country:US
Mailing Address - Phone:619-437-6450
Mailing Address - Fax:619-437-6672
Practice Address - Street 1:1224 10TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-3416
Practice Address - Country:US
Practice Address - Phone:619-437-6450
Practice Address - Fax:619-437-6672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT17427261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14775OtherMEDICARE GROUP #
CAW14775OtherMEDICARE GROUP #