Healthcare Provider Details
I. General information
NPI: 1770527509
Provider Name (Legal Business Name): REHAB 2000 INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2006
Last Update Date: 05/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 N FEDERAL HWY SUITE 403
STUART FL
34994
US
IV. Provider business mailing address
2222 SULLIVAN TRL
EASTON PA
18040-7958
US
V. Phone/Fax
- Phone: 772-692-6928
- Fax: 772-692-6970
- Phone: 800-944-9782
- Fax: 610-438-2024
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
RANDALL
A
WESTON
Title or Position: PRESIDENT
Credential:
Phone: 800-944-9782