Provider Demographics
NPI:1891155883
Name:REHABILITATION ASSOCIATES, INC.
Entity Type:Organization
Organization Name:REHABILITATION ASSOCIATES, INC.
Other - Org Name:REHABILITATION ASSOCIATES, OUTPATIENT
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURGETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-278-7810
Mailing Address - Street 1:60 QUAKER HWY
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-1628
Mailing Address - Country:US
Mailing Address - Phone:508-278-7810
Mailing Address - Fax:508-278-7855
Practice Address - Street 1:60 QUAKER HWY
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1628
Practice Address - Country:US
Practice Address - Phone:508-278-7810
Practice Address - Fax:508-278-7855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0010242Medicare UPIN