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NPI Code Detail

MEDICARE: PHYSICAL REHABILITATION SERVICES INC

MEDICARE: PHYSICAL REHABILITATION SERVICES 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
1225100000XPhysical TherapistPT20555FL

General Provider Information

NPI Number : 1093875312
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL REHABILITATION SERVICES INC
Provider Business Mailing Address
First Line : 17670 NW 78TH AVE
Second Line : SUITE 206
City : HIALEAH
State : FL
Zip : 33015-3664
Country : US
Telephone Number : 305-362-7468
Fax Number : 305-362-7469
Provider Business Practice Location Address
First Line : 17670 NW 78TH AVE
Second Line : SUITE 206
City : HIALEAH
State : FL
Zip : 33015-3664
Country : US
Telephone Number : 305-362-7468
Fax Number : 305-362-7469
Authorized Official
Title or Position : PRESIDENT
Name : MR. DANIEL ELIAS NUNEZ
Credential : MSPT
Telephone Number : 786-277-5959
Provider Enumeration Date : 12/08/2006
Last Update Date : 01/15/2009

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Directions to “PHYSICAL REHABILITATION SERVICES INC ” Practice Location

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