MEDICARE: QUALITY REHAB CARE LLC

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	261QP2000X	Physical Therapy Clinic/Center	0009876	FL

General Provider Information

NPI Number	:	1114194297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY REHAB CARE LLC

Provider Business Mailing Address
First Line	:	307 SW 191ST TER
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-5448
Country	:	US
Telephone Number	:	954-437-3458
Fax Number	:	954-437-8242

Provider Business Practice Location Address
First Line	:	2731 EXECUTIVE PARK DR
Second Line	:	SUITE1
City	:	WESTON
State	:	FL
Zip	:	33331-3657
Country	:	US
Telephone Number	:	954-636-9480
Fax Number	:	954-389-9906

Authorized Official
Title or Position	:	MANAGER/DIRECTOR/OWNER
Name	:	MRS. LAURA ARLETTE HUNTER
Credential	:	BSC, PT
Telephone Number	:	954-437-3458

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	08/08/2008

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