Healthcare Provider Details
I. General information
NPI: 1609168921
Provider Name (Legal Business Name): RIM PROFESSIONAL THERAPY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10300 SW 72ND ST 333
MIAMI FL
33173-3012
US
IV. Provider business mailing address
10300 SW 72ND ST
MIAMI FL
33173-3012
US
V. Phone/Fax
- Phone: 305-279-9255
- Fax: 786-279-9258
- Phone: 305-279-9255
- Fax: 305-279-9258
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FAUSTO
BATISTA
Title or Position: OWNER
Credential:
Phone: 305-279-9255