| Organization Name: | MATRIX REHABILITATION DELAWARE, INC |
| NPI Number: | 1639109861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| Mailing Address: | 118 Atlantic Ave Ocean View |
| State: | DE US |
| Postal Code: | 199709163 |
| Phone Number: | 3025377762 |
| Fax Number: | 3025377488 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 04/27/2016 |
| 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: | |