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NPI Code Detail

MEDICARE: ALL PRO REHAB & PERFORMANCE CENTER

MEDICARE: ALL PRO REHAB & PERFORMANCE CENTER
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 : 1912651878
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL PRO REHAB & PERFORMANCE CENTER
Provider Business Mailing Address
First Line : 1015 GATEWAY BLVD STE 402
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8347
Country : US
Telephone Number : 305-335-9760
Fax Number :
Provider Business Practice Location Address
First Line : 1015 GATEWAY BLVD STE 402
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-8347
Country : US
Telephone Number : 305-335-9760
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ROBERTSON AUGUSTE
Credential : PT, DPT
Telephone Number : 305-335-9760
Provider Enumeration Date : 02/09/2022
Last Update Date : 02/09/2022

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Directions to “ALL PRO REHAB & PERFORMANCE CENTER ” Practice Location

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