# REHAB P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457870867
- **Authorized official:** DAVID W JOHNSON MD (OWNER)
- **Authorized official phone:** (812) 425-2662

## Contact information

- **Practice address:** 1146 WASHINGTON SQ, EVANSVILLE, IN 47715-6809
- **Practice address phone:** (812) 425-2662
- **Mailing address:** PO BOX 3276, EVANSVILLE, IN 47731-3276
- **Mailing address phone:** (812) 473-0181
- **Mailing address fax:** (812) 473-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 11/05/2020