Provider Demographics
NPI:1932421310
Name:REHAB PRACTICE MANAGEMENT, LLC
Entity type:Organization
Organization Name:REHAB PRACTICE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SJOBLOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-422-3700
Mailing Address - Street 1:215 LIGHTHOUSE TER
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-6126
Mailing Address - Country:US
Mailing Address - Phone:615-591-5592
Mailing Address - Fax:615-301-3915
Practice Address - Street 1:215 LIGHTHOUSE TER
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-6126
Practice Address - Country:US
Practice Address - Phone:615-591-5592
Practice Address - Fax:615-301-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty