| Organization Name: | BEACHWOOD LOW BACK REHAB CENTER |
| NPI Number: | 1881667277 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN J POLLACK (DIRECTOR) |
| Mailing Address: | 137 Atlantic City Blvd Suite 2 Beachwood |
| State: | NJ US |
| Postal Code: | 087222935 |
| Phone Number: | 7322448666 |
| Fax Number: | 7322440450 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 04/14/2009 |
| NPI Reactivation Date: | 04/16/2009 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00497000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| 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 |