Provider Demographics
NPI:1538472691
Name:REHABILITATION HOSPITAL OF CAPE & ISLANDS
Entity Type:Organization
Organization Name:REHABILITATION HOSPITAL OF CAPE & ISLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:508-833-1969
Mailing Address - Street 1:280D ROUTE 130
Mailing Address - Street 2:SUITE 7
Mailing Address - City:FORESTDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02644-1140
Mailing Address - Country:US
Mailing Address - Phone:508-833-1060
Mailing Address - Fax:
Practice Address - Street 1:280D ROUTE 130
Practice Address - Street 2:SUITE 7
Practice Address - City:FORESTDALE
Practice Address - State:MA
Practice Address - Zip Code:02644-1140
Practice Address - Country:US
Practice Address - Phone:508-833-1060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2486261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy