Healthcare Provider Details

I. General information

NPI: 1003019449
Provider Name (Legal Business Name): GINGER FITNESS AND REHABILITATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27553 CASHFORD CIR SUITE 101
WESLEY CHAPEL FL
33544-6974
US

IV. Provider business mailing address

27553 CASHFORD CIR SUITE 101
WESLEY CHAPEL FL
33544-6974
US

V. Phone/Fax

Practice location:
  • Phone: 813-631-9700
  • Fax: 813-631-9770
Mailing address:
  • Phone: 813-631-9700
  • Fax: 813-631-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT8145
License Number StateFL

VIII. Authorized Official

Name: MRS. HOANG C LE
Title or Position: PRESIDENT OWNER
Credential: PT
Phone: 813-631-9700