Basic Information
| Provider Information | |||||||||
| NPI: | 1053593558 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHABILITATION AND HEALTH CENTER INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 BAKER BLVD | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | FAIRLAWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443333674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308651600 | ||||||||
| FaxNumber: | 3308651065 | ||||||||
| Practice Location | |||||||||
| Address1: | 1799 AKRON PENINSULA RD | ||||||||
| Address2: | SUITE 312 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443134847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307527265 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2007 | ||||||||
| LastUpdateDate: | 02/01/2013 | ||||||||
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| AuthorizedOfficialLastName: | PORTERFIELD | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | A. | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICAL THERAPIST/ OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3305644100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PHYSICAL THERAPIST | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.