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General NPI Number Information
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NPI Number | 1922075613
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Entity Type | Organization
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Legal Business Name | TLC REHAB, LLC
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 8455 S SUNCOAST BLVD
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City | HOMOSASSA
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State | FL
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Zip | 34446-5066
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Country | US
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Telephone | 352-382-0939
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Fax | 352-382-4297
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Provider Business Mailing Address
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Address Line | PO BOX 741708
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City | ATLANTA
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State | GA
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Zip | 30374-1708
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Country | US
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Telephone | 352-382-7214
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Fax | 352-382-7781
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. DREAMA M WALDROP
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Credential | PT
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Telephone | 352-382-7214
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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 | 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 | 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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