MEDICARE: SUNRAY REHAB 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1306023791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRAY REHAB INC

Provider Business Mailing Address
First Line	:	3397 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4456
Country	:	US
Telephone Number	:	772-692-6994
Fax Number	:	772-692-6995

Provider Business Practice Location Address
First Line	:	3397 NW FEDERAL HWY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4456
Country	:	US
Telephone Number	:	772-692-6994
Fax Number	:	772-692-6995

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KRISTEN MAGEE
Credential	:	RN
Telephone Number	:	772-692-6994

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	10/04/2012

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Directions to “SUNRAY REHAB INC ” Practice Location

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