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General NPI Number Information
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NPI Number | 1720277916
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Entity Type | Organization
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Legal Business Name | GAMA REHAB SERVICES, INC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 14411 COMMERCE WAY STE 230
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1598
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Country | US
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Telephone | 305-625-8844
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Fax | 305-995-0906
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Provider Business Mailing Address
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Address Line | 19042 NW 91ST CT
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City | HIALEAH
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State | FL
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Zip | 33018-8418
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Country | US
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Telephone | 305-803-3165
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Fax | 305-829-8681
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUZ MARIA MENDOZA
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Credential | OTR/L
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Telephone | 305-803-3165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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