Provider Demographics
NPI:1174706832
Name:WELLNESS & EXCELLENCE REHAB CENTER
Entity type:Organization
Organization Name:WELLNESS & EXCELLENCE REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:III
Authorized Official - Credentials:PT
Authorized Official - Phone:480-345-2664
Mailing Address - Street 1:209 E BASELINE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1269
Mailing Address - Country:US
Mailing Address - Phone:480-345-2664
Mailing Address - Fax:480-345-8563
Practice Address - Street 1:209 E BASELINE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1269
Practice Address - Country:US
Practice Address - Phone:480-345-2664
Practice Address - Fax:480-345-8563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty