Provider Demographics
NPI:1568629350
Name:L & J TELESMANIC REHAB SYSTEMS, INC.
Entity Type:Organization
Organization Name:L & J TELESMANIC REHAB SYSTEMS, INC.
Other - Org Name:ALLIANCE REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:TELESMANIC
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:559-439-7041
Mailing Address - Street 1:7065 N CHESTNUT AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0355
Mailing Address - Country:US
Mailing Address - Phone:559-439-7041
Mailing Address - Fax:559-439-7847
Practice Address - Street 1:7065 N CHESTNUT AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0355
Practice Address - Country:US
Practice Address - Phone:559-439-7041
Practice Address - Fax:559-439-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3958261QH0700X
261QM1300X, 261QR0400X
CA33085261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation