Provider Demographics
NPI:1649587288
Name:REHABILITATION EQUIPMENT ASSOCIATES INC
Entity type:Organization
Organization Name:REHABILITATION EQUIPMENT ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:SODERQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-645-5200
Mailing Address - Street 1:1015 CANDIA RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-5207
Mailing Address - Country:US
Mailing Address - Phone:603-645-5200
Mailing Address - Fax:603-668-7940
Practice Address - Street 1:52 STRAWBERRY AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5942
Practice Address - Country:US
Practice Address - Phone:207-333-3638
Practice Address - Fax:207-333-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0530100002Medicare NSC