Provider Demographics
NPI:1619500576
Name:COGNET REHAB SOLUTIONS INC
Entity Type:Organization
Organization Name:COGNET REHAB SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SOUTH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:213-459-0869
Mailing Address - Street 1:417 W ALLEN AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-4707
Mailing Address - Country:US
Mailing Address - Phone:213-459-0869
Mailing Address - Fax:
Practice Address - Street 1:417 W ALLEN AVE STE 107
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-4707
Practice Address - Country:US
Practice Address - Phone:213-459-0869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty