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Prorehab PC

Organization Active NPI Clinic/Center · Cape Girardeau, MO

NPI 1467949040 · NPPES record last updated Apr 18, 2018

Key facts

NPI
1467949040
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
PROREHAB PC
Practice address
2136 William St Ste 115
Cape Girardeau, MO 63703-5830
Phone
(573) 826-4033
Fax
(573) 824-7075
NPI assigned
Apr 18, 2018
Organization subpart
No

Authorized official

Name
Juana Granados
Title
Credentialing Manager
Phone
(630) 575-1980

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Prorehab PC (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

2136 William St Ste 115
Cape Girardeau, MO 63703-5830

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other names

  • ATHLETICO PHYSICAL THERAPY Doing business as

Other providers in Cape Girardeau, MO

All providers in Cape Girardeau, MO · Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.