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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRODIGY REHABILITATION GROUP INC.

Active Organization

PRODIGY REHABILITATION GROUP INC. is a Physical Therapy Assistant organization located in ELK GROVE, California. NPI 1790382505 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELK GROVE, CA

Registration Details

NPI Number
1790382505
Provider Type
Organization
NPI Issued
Oct 5, 2020 (5.6734555940853 yrs)
Last Updated
Oct 5, 2020

Practice Information

Address
10358 PEDRA DO SOL WAY
ELK GROVE, CA, 957573471
Browse CA providers · Browse ZIP 95757
Phone
9167307092
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Rehabilitation Clinic
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.