Provider Demographics
NPI:1790151447
Name:REHABCARE UNLIMITED CORPORATION
Entity Type:Organization
Organization Name:REHABCARE UNLIMITED CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:PADILLA
Authorized Official - Last Name:QUICHO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-333-3172
Mailing Address - Street 1:8349 RESEDA BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5913
Mailing Address - Country:US
Mailing Address - Phone:818-341-3791
Mailing Address - Fax:626-333-3163
Practice Address - Street 1:8215 VAN NUYS BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4810
Practice Address - Country:US
Practice Address - Phone:818-786-0082
Practice Address - Fax:626-333-3163
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABCARE UNLIMITED CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-17
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty