MEDICARE: ALL AMERICAN REHABILITATION CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1134317662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN REHABILITATION CENTER, INC

Provider Business Mailing Address
First Line	:	1790 W 49TH ST
Second Line	:	SUITE 400-10
City	:	HIALEAH
State	:	FL
Zip	:	33012-2992
Country	:	US
Telephone Number	:	305-556-4036
Fax Number	:	305-556-4084

Provider Business Practice Location Address
First Line	:	1790 W 49TH ST
Second Line	:	SUITE 400-10
City	:	HIALEAH
State	:	FL
Zip	:	33012-2992
Country	:	US
Telephone Number	:	305-556-4036
Fax Number	:	305-556-4084

Authorized Official
Title or Position	:	OWNER
Name	:	VIVIAN Y MALDONADO
Credential	:
Telephone Number	:	305-556-4036

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	10/10/2007

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