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NPI Code Detail

MEDICARE: HEALTH & REHAB CLINIC

MEDICARE: HEALTH & REHAB CLINIC
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
1225700000XMassage Therapist
2111NR0400XRehabilitation Chiropractor

General Provider Information

NPI Number : 1255638300
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH & REHAB CLINIC
Provider Business Mailing Address
First Line : 108 W 5TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6125
Country : US
Telephone Number : 850-224-0033
Fax Number : 850-224-0033
Provider Business Practice Location Address
First Line : 108 W 5TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6125
Country : US
Telephone Number : 850-224-0033
Fax Number : 850-224-0033
Authorized Official
Title or Position : OWNER
Name : MARLAINE RAYMOND
Credential :
Telephone Number : 850-224-0033
Provider Enumeration Date : 02/24/2011
Last Update Date : 02/24/2011

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Directions to “HEALTH & REHAB CLINIC ” Practice Location

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