Healthcare Provider Details

I. General information

NPI: 1437260494
Provider Name (Legal Business Name): SPRING HILL REHAB AND LYMPHEDEMA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12587 SPRING HILL DRIVE
SPRING HILL FL
34609
US

IV. Provider business mailing address

17222 HOSPITAL BLVD SUITE 346
BROOKSVILLE FL
34601-8925
US

V. Phone/Fax

Practice location:
  • Phone: 352-593-4919
  • Fax: 352-796-3323
Mailing address:
  • Phone: 352-593-4919
  • Fax: 352-796-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. ROBERT D KNAPP
Title or Position: PRESIDENT/OWNER
Credential: OTR/L
Phone: 352-593-4919