Provider Demographics
NPI:1609761949
Name:APW REHAB, LLC
Entity type:Organization
Organization Name:APW REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:102-161-5353
Mailing Address - Street 1:12708 ALCONBURY ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7213
Mailing Address - Country:US
Mailing Address - Phone:310-261-1535
Mailing Address - Fax:214-975-2493
Practice Address - Street 1:13316 S WESTERN AVE STE K
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-7310
Practice Address - Country:US
Practice Address - Phone:310-261-1535
Practice Address - Fax:214-975-2493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty