MEDICARE: GRL THERAPY & REHABILITATION CORP

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

General Provider Information

NPI Number	:	1184982126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRL THERAPY & REHABILITATION CORP

Provider Business Mailing Address
First Line	:	PO BOX 6532
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-6532
Country	:	US
Telephone Number	:	786-768-0533
Fax Number	:

Provider Business Practice Location Address
First Line	:	4954 PIMLICO CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-9116
Country	:	US
Telephone Number	:	786-768-0533
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GEORGY RODRIGUEZ
Credential	:	MA
Telephone Number	:	786-768-0533

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	04/27/2012

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Directions to “GRL THERAPY & REHABILITATION CORP ” Practice Location

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