Provider Demographics
NPI:1427668227
Name:PRO REHAB NOW
Entity type:Organization
Organization Name:PRO REHAB NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP
Authorized Official - Phone:980-288-6225
Mailing Address - Street 1:9716 REA RD
Mailing Address - Street 2:STE B PBM 1025
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9305
Mailing Address - Country:US
Mailing Address - Phone:980-288-6225
Mailing Address - Fax:704-285-2311
Practice Address - Street 1:9716 REA RD
Practice Address - Street 2:STE B PBM 1025
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28277-9305
Practice Address - Country:US
Practice Address - Phone:980-288-6225
Practice Address - Fax:704-285-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty