Provider Demographics
NPI:1437525979
Name:ONCOLOGY REHAB
Entity Type:Organization
Organization Name:ONCOLOGY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:PAT, CLT - LANA
Authorized Official - Phone:720-306-8261
Mailing Address - Street 1:13997 E LOUISIANA PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4680
Mailing Address - Country:US
Mailing Address - Phone:949-421-7005
Mailing Address - Fax:
Practice Address - Street 1:5300 DTC PKWY STE 200
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3025
Practice Address - Country:US
Practice Address - Phone:720-306-8261
Practice Address - Fax:720-306-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005822261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy