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NPI 1760533319

NPI 1760533319 : OUR CHILDREN'S REHAB CENTER, INC. : WINTER HAVEN, FL

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General NPI Number Information
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    NPI Number           |    1760533319
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    Entity Type          |    Organization 
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    Legal Business Name  |    OUR CHILDREN'S REHAB CENTER, INC. 
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Dates
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    Enumeration Date     |    01/12/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    150 AVENUE B SE 
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    City                 |    WINTER HAVEN
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    State                |    FL
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    Zip                  |    33880-3037
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    Country              |    US
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    Telephone            |    863-294-1429
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    Fax                  |    863-298-0299
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Provider Business Mailing Address
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    Address Line         |    150 AVENUE B SE 
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    City                 |    WINTER HAVEN
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    State                |    FL
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    Zip                  |    33880-3037
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    Country              |    US
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    Telephone            |    863-294-1429
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    Fax                  |    863-298-0299
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     SHARON  COMKOWYCZ 
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    Credential           |    
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    Telephone            |    863-294-1429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric 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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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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        |    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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