Provider Demographics
NPI:1760561278
Name:GLOBAL REHAB GROUP, A PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:GLOBAL REHAB GROUP, A PHYSICAL THERAPY PC
Other - Org Name:COLIMA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENDRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:GANDING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-964-1727
Mailing Address - Street 1:18931 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2942
Mailing Address - Country:US
Mailing Address - Phone:626-964-1727
Mailing Address - Fax:626-964-1845
Practice Address - Street 1:18931 COLIMA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2942
Practice Address - Country:US
Practice Address - Phone:626-964-1727
Practice Address - Fax:626-964-1845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT222162251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty