MEDICARE: O PAIN REHABILITATION 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
1	173C00000X	Reflexologist	MA60863	FL

General Provider Information

NPI Number	:	1437457934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O PAIN REHABILITATION INC

Provider Business Mailing Address
First Line	:	12401 W OKEECHOBEE RD
Second Line	:	LOT 119
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-2924
Country	:	US
Telephone Number	:	786-333-5427
Fax Number	:

Provider Business Practice Location Address
First Line	:	12401 W OKEECHOBEE RD
Second Line	:	LOT 119
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-2924
Country	:	US
Telephone Number	:	786-333-5427
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	OSVALDO PINEIRO GUERRERO
Credential	:	LMT
Telephone Number	:	786-333-5427

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	03/08/2011

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