| Organization Name: | MATRIX REHABILITATION, INC. |
| NPI Number: | 1114962636 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT) |
| Mailing Address: | 15 Penny Ln Suite 4 Watsonville |
| State: | CA US |
| Postal Code: | 950766010 |
| Phone Number: | 8317248235 |
| Fax Number: | 8317249099 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |