Provider Demographics
NPI:1720899784
Name:3RSP REHAB CORP.
Entity type:Organization
Organization Name:3RSP REHAB CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REHABILITATION
Authorized Official - Prefix:
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:HERRERA
Authorized Official - Last Name:PASCO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:818-877-8095
Mailing Address - Street 1:19704 SHADOW GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3839
Mailing Address - Country:US
Mailing Address - Phone:818-877-8095
Mailing Address - Fax:
Practice Address - Street 1:19704 SHADOW GLEN CIR
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91326-3839
Practice Address - Country:US
Practice Address - Phone:818-877-8095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy