Provider Demographics
NPI:1487409363
Name:RCG PEDIATRIC REHABILITATION
Entity type:Organization
Organization Name:RCG PEDIATRIC REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING & A/R SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-627-2427
Mailing Address - Street 1:911 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3700
Mailing Address - Country:US
Mailing Address - Phone:804-897-1753
Mailing Address - Fax:
Practice Address - Street 1:911 STURBRIDGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-3700
Practice Address - Country:US
Practice Address - Phone:804-897-1753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty