MEDICARE: DISABLED AND ABLE BODIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner	OT 3078	FL

General Provider Information

NPI Number	:	1023272184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISABLED AND ABLE BODIES, INC.

Provider Business Mailing Address
First Line	:	14335 SW 120TH ST
Second Line	:	SUITE # 113
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	305-382-6968
Fax Number	:	305-397-1409

Provider Business Practice Location Address
First Line	:	14335 SW 120TH ST
Second Line	:	SUITE # 113
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	305-382-6968
Fax Number	:	305-397-1409

Authorized Official
Title or Position	:	PRESIDENT/DIRECTOR
Name	:	MS. CONSUELO C PADILLA
Credential	:	OTR
Telephone Number	:	305-281-6505

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	03/19/2010

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