| Organization Name: | NOVACARE OUTPATIENT REHABILITATION EAST INC |
| NPI Number: | 1184629024 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. TARVIN (VICE PRESIDENT) |
| Mailing Address: | 3069 University Dr Ste 230 Auburn Hills |
| State: | MI US |
| Postal Code: | 483262322 |
| Phone Number: | 2482766700 |
| Fax Number: | 2482766913 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |