| Organization Name: | MOBILITY REHAB PRODUCTS, LLC |
| NPI Number: | 1033350616 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC ALAN MYZAL (COO) |
| Mailing Address: | 235 Polaris Street Anderson |
| State: | SC US |
| Postal Code: | 29625 |
| Phone Number: | 8642266900 |
| Fax Number: | 8778332640 |
| NPI Enumeration Date: | 03/12/2009 |
| NPI Last Update Date: | 11/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 06280885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |