Healthcare Provider Details

I. General information

NPI: 1396703492
Provider Name (Legal Business Name): QUALITY REHAB SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 N COURSE DR
POMPANO BEACH FL
33069-3058
US

IV. Provider business mailing address

360 SE 5TH CT
POMPANO BEACH FL
33060-8465
US

V. Phone/Fax

Practice location:
  • Phone: 954-785-8229
  • Fax: 954-785-9227
Mailing address:
  • Phone: 954-785-8229
  • Fax: 954-785-9227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: THERESA RENE PANTANELLA
Title or Position: PRESIDENT
Credential: OT/L, MPA, OTD
Phone: 954-785-8229