=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306919071
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OZARK REHAB CENTERS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 222 S US HIGHWAY 1 SUITE 208
-----------------------------------------------------
City | TEQUESTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33469-2732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-747-5750
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3402 WILLOW ROAD
-----------------------------------------------------
City | JONESBORO
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MYRNA POSNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 561-747-5750
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------