Organization Name: | REHABON INC |
NPI Number: | 1073989703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRFAN MEHMUD IBRAHIM (OWNER & CEO) |
Mailing Address: | 4 Burnt Bridge Rd Sharon |
State: | MA US |
Postal Code: | 020672991 |
Phone Number: | 3127304593 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 19060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |