Provider Demographics
NPI:1821177932
Name:REHAB EXCLUSIVE
Entity Type:Organization
Organization Name:REHAB EXCLUSIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L; GENERAL PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARYANA
Authorized Official - Middle Name:B
Authorized Official - Last Name:WALTON-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-208-1982
Mailing Address - Street 1:8876 BETONY CT
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-6770
Mailing Address - Country:US
Mailing Address - Phone:614-208-1982
Mailing Address - Fax:
Practice Address - Street 1:8876 BETONY CT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-6770
Practice Address - Country:US
Practice Address - Phone:614-208-1982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-5426225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty