| NPI | 1053414177 |
|---|---|
| Doing Business As | INTEGRA REHAB AGENCY |
| Entity Type | Organization |
| Authorized Contact | MARIA ALICIA SHOOP Administrator 866-261-8090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-10-24 |