Healthcare Provider Details

I. General information

NPI: 1730130477
Provider Name (Legal Business Name): OCALA REHABILITATION SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 01/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5345 SW COLLEGE RD
OCALA FL
34474-5717
US

IV. Provider business mailing address

5345 SW COLLEGE RD
OCALA FL
34474-5717
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-9996
  • Fax: 352-671-9998
Mailing address:
  • Phone: 352-671-9996
  • Fax: 352-671-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSIE LABASBAS
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 352-671-9996