MEDICARE: ABSOLUTE 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1477586477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE REHABILITATION CORP.

Provider Business Mailing Address
First Line	:	13163 SW 16TH ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33325-5729
Country	:	US
Telephone Number	:	954-474-1146
Fax Number	:	954-474-0777

Provider Business Practice Location Address
First Line	:	13163 SW 16TH ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33325-5729
Country	:	US
Telephone Number	:	954-474-1146
Fax Number	:	954-474-0777

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DOMINIC A ALOMA
Credential	:	MSPT
Telephone Number	:	954-474-1146

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/30/2009

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Directions to “ABSOLUTE REHABILITATION CORP. ” Practice Location

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