Provider Demographics
NPI:1639528425
Name:REHABILITATION EQUIPMENT ASSOCIATES INC.
Entity Type:Organization
Organization Name:REHABILITATION EQUIPMENT ASSOCIATES INC.
Other - Org Name:REHABILITATION EQUIPMENT ASSOCIATES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:SODERQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-645-5200
Mailing Address - Street 1:1015 CANDIA RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-5207
Mailing Address - Country:US
Mailing Address - Phone:603-645-5200
Mailing Address - Fax:
Practice Address - Street 1:26 PARKRIDGE RD STE 110
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-8514
Practice Address - Country:US
Practice Address - Phone:978-914-6684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION EQUIPMENT ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-13
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7503032Medicaid