Provider Demographics
NPI:1265035810
Name:ABI NEURO REHABILITATION SERVICES
Entity Type:Organization
Organization Name:ABI NEURO REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HOLZBACH
Authorized Official - Last Name:DUBOSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-230-0313
Mailing Address - Street 1:10 LANGLEY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4205
Mailing Address - Country:US
Mailing Address - Phone:843-230-0313
Mailing Address - Fax:
Practice Address - Street 1:10 LANGLEY DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4205
Practice Address - Country:US
Practice Address - Phone:843-230-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation