| Organization Name: | REHAB UNLIMITED AT SOUTHBRIDGE, LLC |
| NPI Number: | 1114903234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS P. YANKUSH (OWNER) |
| Mailing Address: | 725 Boardman Canfield Rd Suite A-1 Boardman |
| State: | OH US |
| Postal Code: | 445124380 |
| Phone Number: | 3307260151 |
| Fax Number: | 3307266540 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 36-6707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |