Independence Rehab, Llc

LBN: Independence Rehab, Llc
Independence Rehab, Llc is an health care organization with primary practice located at 5314 River Run Dr Suite 140, Provo UT 84604-5691. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Independence Rehab, Llc can be contacted via phone (801) 494-0486, or through Fullmer, Chad via phone (801) 494-0486.

Contact Information

Primary practice address
5314 River Run Dr Suite 140 Provo UT 84604-5691
Phone: (801) 494-0486
Fax: (801) 494-0533
Website:
Map and Directions
Authorized official contact:
Name: Fullmer, Chad
Phone: (801) 494-0486

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1063781813
LBN Legal business name Independence Rehab, Llc
DBA Doing business as
Authorized official Fullmer, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2011
Last updated Dec 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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