Provider Demographics
NPI:1861690794
Name:QUALITY REHABILITATION SERVICES INC.
Entity type:Organization
Organization Name:QUALITY REHABILITATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:FOGNER
Authorized Official - Suffix:
Authorized Official - Credentials:OT L
Authorized Official - Phone:843-665-9131
Mailing Address - Street 1:3911 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8721
Mailing Address - Country:US
Mailing Address - Phone:843-665-9131
Mailing Address - Fax:843-665-9131
Practice Address - Street 1:3911 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8721
Practice Address - Country:US
Practice Address - Phone:843-665-9131
Practice Address - Fax:843-665-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC361225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty