MEDICARE: FEEL WELL REHABILITATION SERVICES 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	225100000X	Physical Therapist	PT20555	FL
2	225XP0019X	Physical Rehabilitation Occupational Therapist	OT9386	FL
3	225X00000X	Occupational Therapist	OT9386	FL

General Provider Information

NPI Number	:	1598905010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEEL WELL REHABILITATION SERVICES INC

Provider Business Mailing Address
First Line	:	259 E 52ND ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1426
Country	:	US
Telephone Number	:	786-230-5928
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 E 52ND ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1426
Country	:	US
Telephone Number	:	786-230-5928
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN BALKANSKI
Credential	:	OTR
Telephone Number	:	786-230-5928

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	02/24/2009

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