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NPI Code Detail

MEDICARE: QUALITY REHAB SYSTEMS, INC.

MEDICARE: QUALITY REHAB SYSTEMS, 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
1225XN1300XNeurorehabilitation Occupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1396703492
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY REHAB SYSTEMS, INC.
Provider Business Mailing Address
First Line : 360 SE 5TH CT
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33060-8465
Country : US
Telephone Number : 954-785-8229
Fax Number : 954-785-9227
Provider Business Practice Location Address
First Line : 2701 N COURSE DR
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-3058
Country : US
Telephone Number : 954-785-8229
Fax Number : 954-785-9227
Authorized Official
Title or Position : PRESIDENT
Name : THERESA RENE PANTANELLA
Credential : OT/L, MPA, OTD
Telephone Number : 954-785-8229
Provider Enumeration Date : 05/01/2006
Last Update Date : 01/14/2011

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