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NPI Code Detail

MEDICARE: REHAB SPECIALISTS EAST COAST

MEDICARE: REHAB SPECIALISTS EAST COAST
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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1235121088
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB SPECIALISTS EAST COAST
Provider Business Mailing Address
First Line : 3040 N WICKHAM RD
Second Line : SUITE 7
City : MELBOURNE
State : FL
Zip : 32935-2369
Country : US
Telephone Number : 321-255-9546
Fax Number : 321-255-4690
Provider Business Practice Location Address
First Line : 3040 N WICKHAM RD
Second Line : SUITE 7
City : MELBOURNE
State : FL
Zip : 32935-2369
Country : US
Telephone Number : 321-255-9546
Fax Number : 321-255-4690
Authorized Official
Title or Position : PRESIDENT
Name : MRS. JOCELYN CASINGAL
Credential : PT
Telephone Number : 321-255-9546
Provider Enumeration Date : 08/18/2005
Last Update Date : 02/20/2009

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Directions to “REHAB SPECIALISTS EAST COAST ” Practice Location

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