Healthcare Provider Details

I. General information

NPI: 1780747410
Provider Name (Legal Business Name): COMPLETE REHAB SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 NW 125TH AVE
CORAL SPRINGS FL
33076-3448
US

IV. Provider business mailing address

5011 NW 125TH AVE
CORAL SPRINGS FL
33076-3448
US

V. Phone/Fax

Practice location:
  • Phone: 954-757-7933
  • Fax: 954-757-7174
Mailing address:
  • Phone: 954-757-7933
  • Fax: 954-757-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number16000
License Number StateFL

VIII. Authorized Official

Name: BRIAN EVAN ALHANTI
Title or Position: PRESIDENT
Credential: PT
Phone: 954-254-1045