| Organization Name: | ROANOKE CHOWAN REHAB INC |
| NPI Number: | 1063734507 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD N VICK (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 1109 E Memorial Dr Suite 2 Ahoskie |
| State: | NC US |
| Postal Code: | 279103919 |
| Phone Number: | 2523326760 |
| Fax Number: | 2523321688 |
| NPI Enumeration Date: | 02/25/2010 |
| NPI Last Update Date: | 05/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |