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General NPI Number Information
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NPI Number | 1922100767
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Entity Type | Organization
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Legal Business Name | REHABXPERIENCE LLC
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 350 NW 70TH AVE STE A
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City | PLANTATION
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State | FL
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Zip | 33317-2349
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Country | US
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Telephone | 954-741-2221
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Fax | 954-741-2155
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Provider Business Mailing Address
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Address Line | 350 NW 70TH AVE STE A
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City | PLANTATION
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State | FL
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Zip | 33317-2349
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Country | US
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Telephone | 954-741-2221
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Fax | 954-741-2155
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Authorized Official
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Title or Position | MANAGING MEMBER AND CEO
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Name | MR. OFER AMIT
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Credential |
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Telephone | 954-741-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 0006687
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License Number State | FL
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