Provider Demographics
NPI:1508685728
Name:REHABONE PLLC
Entity type:Organization
Organization Name:REHABONE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:I
Authorized Official - Last Name:SLOBEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-772-6312
Mailing Address - Street 1:1670 RIVIERA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-7316
Mailing Address - Country:US
Mailing Address - Phone:650-772-6312
Mailing Address - Fax:
Practice Address - Street 1:105 CUNNINGHAM CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5591
Practice Address - Country:US
Practice Address - Phone:650-772-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy