Organization Name: | BODALIA REHAB SVCS |
NPI Number: | 1780733329 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NIKETA BUDALIA (CLINICAL DIRECTOR) |
Mailing Address: | 18601 E Silverhill Rd B Robertsdale |
State: | AL US |
Postal Code: | 36567 |
Phone Number: | 2519477911 |
Fax Number: | 2519472697 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |