Organization Name: | INDIVIDUAL REHAB, INC |
NPI Number: | 1679635338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY MITCHEL (PRESIDENT) |
Mailing Address: | 806 Central Ave Highland Park |
State: | IL US |
Postal Code: | 600355613 |
Phone Number: | 3124401122 |
Fax Number: | 3124401177 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |