Provider Demographics
NPI:1952026924
Name:REHAB AND WELLNESS LLC
Entity type:Organization
Organization Name:REHAB AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMIA
Authorized Official - Middle Name:SANA
Authorized Official - Last Name:MOIZUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-387-1189
Mailing Address - Street 1:1090 HIGHWAY 78 E.
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-3959
Mailing Address - Country:US
Mailing Address - Phone:205-387-1189
Mailing Address - Fax:205-544-2909
Practice Address - Street 1:48041 US HIGHWAY 78
Practice Address - Street 2:SUITE E
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096
Practice Address - Country:US
Practice Address - Phone:205-387-1189
Practice Address - Fax:205-544-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty