| Organization Name: | INTEGRATED REHABILITATION INSTITUTE LLC |
| NPI Number: | 1144560533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | UJWALA PURANIK PURANIK (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 504 Legacy Plz W La Porte |
| State: | IN US |
| Postal Code: | 463505254 |
| Phone Number: | 2193267246 |
| Fax Number: | 2193267234 |
| NPI Enumeration Date: | 02/21/2013 |
| NPI Last Update Date: | 02/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |