Organization · Type 2 NPI
Innovative Rehabilitation LLC
Comprehensive Outpatient Rehabilitation Facility (CORF) · Glendale, AZ
NPI number
1114260494
Active
Practice location
5146 W Whispering Wind Dr
Glendale, AZ 85310-2910
Fax (623) 738-0479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | OTC5691 (AZ) |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
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About NPI 1114260494
Innovative Rehabilitation LLC's National Provider Identifier is 1114260494, issued on Apr 4, 2013. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Glendale, AZ. The record was last updated on Jul 29, 2013.