| Organization Name: | EAGLE REHAB CORPORATION |
| NPI Number: | 1679541809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT) |
| Mailing Address: | 10905 Ft Washington Rd Ste 101 Ft Washington |
| State: | MD US |
| Postal Code: | 20744 |
| Phone Number: | 3012925100 |
| Fax Number: | 3012922847 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 09/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 12/07/2007 |
| NPI Reactivation Date: | 01/14/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |