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General NPI Number Information
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NPI Number | 1063609360
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Entity Type | Organization
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Legal Business Name | KASAQ HAND REHABILITATION INC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 5870 SW 8TH ST STE 8
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City | WEST MIAMI
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State | FL
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Zip | 33144-5052
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Country | US
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Telephone | 305-261-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 5870 SW 8TH ST STE 8
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City | WEST MIAMI
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State | FL
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Zip | 33144-5052
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Country | US
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Telephone | 305-261-7227
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NORKA-MARIA ROMAN
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Credential |
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Telephone | 305-261-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State | FL
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