| NPI | 1477587640 |
|---|---|
| Other Name | EAST COAST REHAB, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN JACOB BUCHBACH Owner 703-370-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 0622638) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-06-24 |