| NPI | 1982276416 |
|---|---|
| Doing Business As | PRODIGY TRANSITIONAL REHAB |
| Entity Type | Organization |
| Authorized Contact | CHARLES EVERETT SHARPE Regional Director 252-432-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |