Provider Demographics
NPI:1841502093
Name:REHAB THERAPEUTICS, INC
Entity type:Organization
Organization Name:REHAB THERAPEUTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEILKE
Authorized Official - Suffix:
Authorized Official - Credentials:MHS,CCC/SLP
Authorized Official - Phone:219-374-6117
Mailing Address - Street 1:12712 MARSH LANDING PKWY
Mailing Address - Street 2:
Mailing Address - City:CEDAR LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46303-8552
Mailing Address - Country:US
Mailing Address - Phone:219-374-6117
Mailing Address - Fax:219-374-6117
Practice Address - Street 1:12712 MARSH LANDING PKWY
Practice Address - Street 2:
Practice Address - City:CEDAR LAKE
Practice Address - State:IN
Practice Address - Zip Code:46303-8552
Practice Address - Country:US
Practice Address - Phone:219-374-6117
Practice Address - Fax:219-374-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-03
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency