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General NPI Number Information
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NPI Number | 1750244661
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Entity Type | Organization
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Legal Business Name | ALLY REHAB, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5634 HILLVIEW CT
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City | LAKELAND
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State | FL
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Zip | 33810-3246
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Country | US
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Telephone | 863-513-9054
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Fax |
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Provider Business Mailing Address
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Address Line | 5634 HILLVIEW CT
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City | LAKELAND
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State | FL
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Zip | 33810-3246
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Country | US
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Telephone | 863-513-9054
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JENNIFER HENSON SORIANO
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Credential | DPT
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Telephone | 863-513-9054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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