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NPI Code Detail

MEDICARE: REHAB PROVIDERS INC

MEDICARE: REHAB PROVIDERS 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
1225100000XPhysical TherapistPT21735FL

General Provider Information

NPI Number : 1861630378
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB PROVIDERS INC
Provider Business Mailing Address
First Line : 1527 SILVER ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32206-4443
Country : US
Telephone Number : 904-891-0782
Fax Number : 904-357-0061
Provider Business Practice Location Address
First Line : 1527 SILVER ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32206-4443
Country : US
Telephone Number : 904-891-0782
Fax Number : 904-357-0061
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHRISTOPHER WAYNE FEARON
Credential : PT
Telephone Number : 904-891-0782
Provider Enumeration Date : 01/22/2009
Last Update Date : 01/22/2009

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Directions to “REHAB PROVIDERS INC ” Practice Location

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