Provider Demographics
NPI:1659794824
Name:ORTHOPAEDIC REHAB
Entity Type:Organization
Organization Name:ORTHOPAEDIC REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR OFFICE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-320-2110
Mailing Address - Street 1:2375 TORRANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2541
Mailing Address - Country:US
Mailing Address - Phone:310-320-2110
Mailing Address - Fax:
Practice Address - Street 1:2375 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2541
Practice Address - Country:US
Practice Address - Phone:310-320-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier