| Organization Name: | 36 REHABILITATION CENTER CORP |
| NPI Number: | 1295971398 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HERMANN J DIEHL (DIRECTOR) |
| Mailing Address: | 6595 Nw 36th St Suite 119 Virginia Gardens |
| State: | FL US |
| Postal Code: | 331666979 |
| Phone Number: | 3058719981 |
| Fax Number: | 3058719979 |
| NPI Enumeration Date: | 12/20/2008 |
| NPI Last Update Date: | 12/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | CH7483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |