| NPI | 1922160829 |
|---|---|
| Doing Business As | INNOVATIVE SENIOR REHAB |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOY HADLEY VP CFO 916-690-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-07-10 |