Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Physical Therapy |
261QP2000X |
| NPI # | 1851351670 |
| LBN Legal business name | EAGLE REHAB CORPORATION |
| Authorized official | JOHN DUGGAN - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/24/2006 |
| Last updated | 10/21/2025 - About 8 months ago |
| Identifiers | n/a |
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