Active Rehab LLC
Occupational Therapist in Jefferson City, MO. Organization (NPI-2).
NPI number1477540102
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477540102
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Rehab LLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 000324 | MO | Yes |
Practice location
2713a Industrial DrJefferson City, MO 65109
Phone 573-634-7541 · Fax 573-634-7543
Mailing address
2713a Industrial DrJefferson City, MO 65109
Phone 573-634-7541 · Fax 573-634-7543
Authorized official
Cynthia Louise Gallatin
Occupational Therapist Member
5736347541
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All 58 Occupational Therapist providers in Jefferson City · All 1,897 providers in Jefferson City
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