| NPI | 1083195663 |
|---|---|
| Doing Business As | PHOENIX REHAB & MOBILITY |
| Entity Type | Organization |
| Authorized Contact | JAMES C ROGERS CEO 423-697-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 1511) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1511) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2019-03-08 |