Healthcare Provider Details

I. General information

NPI: 1518067651
Provider Name (Legal Business Name): REHAB ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9908 GULF DRIVE
ANNA MARIA FL
34216
US

IV. Provider business mailing address

PO BOX 669
ANNA MARIA FL
34216-0669
US

V. Phone/Fax

Practice location:
  • Phone: 941-778-2641
  • Fax: 941-779-2291
Mailing address:
  • Phone: 941-778-2641
  • Fax: 941-779-2291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT3650
License Number StateFL

VIII. Authorized Official

Name: MS. JEANNE A FERGUSON
Title or Position: PRESIDENT
Credential:
Phone: 941-778-0120