Healthcare Provider Details

I. General information

NPI: 1073549754
Provider Name (Legal Business Name): CAROLINA REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E SAMPLE RD SUITE 301
POMPANO BEACH FL
33064-3552
US

IV. Provider business mailing address

50 E SAMPLE RD SUITE 301
POMPANO BEACH FL
33064-3552
US

V. Phone/Fax

Practice location:
  • Phone: 954-938-3770
  • Fax: 954-580-0921
Mailing address:
  • Phone: 954-938-3770
  • Fax: 954-580-0921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. WILLIAM GUTHRIE
Title or Position: PRESIDENT
Credential:
Phone: 954-938-3770