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NPI Code Detail

MEDICARE: CORE REHABILITATION INC.

MEDICARE: CORE 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1710325469
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORE REHABILITATION INC.
Provider Business Mailing Address
First Line : PO BOX 111
Second Line :
City : LAKE WALES
State : FL
Zip : 33859-0111
Country : US
Telephone Number : 863-678-0705
Fax Number : 863-678-0700
Provider Business Practice Location Address
First Line : 2031 STATE ROAD 60 E
Second Line :
City : LAKE WALES
State : FL
Zip : 33898-5113
Country : US
Telephone Number : 863-678-0705
Fax Number : 863-678-0700
Authorized Official
Title or Position : OWNER
Name : MR. JOSEPH P KOLOC
Credential : PT
Telephone Number : 863-678-7005
Provider Enumeration Date : 06/04/2013
Last Update Date : 09/22/2023

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Directions to “CORE REHABILITATION INC. ” Practice Location

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