Provider Demographics
NPI:1851591101
Name:REHABCARE
Entity Type:Organization
Organization Name:REHABCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LUIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:PENALVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-332-4240
Mailing Address - Street 1:1051J VILLAGE HWY UNIT J
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-3800
Mailing Address - Country:US
Mailing Address - Phone:434-332-4240
Mailing Address - Fax:434-332-4260
Practice Address - Street 1:1051J VILLAGE HWY
Practice Address - Street 2:SUITE J
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-3800
Practice Address - Country:US
Practice Address - Phone:434-332-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine