Healthcare Provider Details

I. General information

NPI: 1366484917
Provider Name (Legal Business Name): REHAB PROFESSIONALS OF CLEVELAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 TOWN CENTRE DR SUITE 400
BROADVIEW HEIGHTS OH
44147-4008
US

IV. Provider business mailing address

7000 TOWN CENTRE DR SUITE 400
BROADVIEW HEIGHTS OH
44147-4008
US

V. Phone/Fax

Practice location:
  • Phone: 440-526-8566
  • Fax: 440-546-8280
Mailing address:
  • Phone: 440-526-8566
  • Fax: 440-546-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3832
License Number StateOH

VIII. Authorized Official

Name: MR. EDWARD J AUBE
Title or Position: PRESIDENT
Credential: P.T.
Phone: 440-526-8566