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NPI Code Detail

MEDICARE: TLC REHAB, LLC

MEDICARE: TLC REHAB, LLC
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1922075613
Entity Type Code : Organization
Provider Name (Legal Business Name) : TLC REHAB, LLC
Provider Business Mailing Address
First Line : PO BOX 741708
Second Line :
City : ATLANTA
State : GA
Zip : 30374-1708
Country : US
Telephone Number : 352-382-7214
Fax Number : 352-382-7781
Provider Business Practice Location Address
First Line : 8455 S SUNCOAST BLVD
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-5066
Country : US
Telephone Number : 352-382-0939
Fax Number : 352-382-4297
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MRS. DREAMA M WALDROP
Credential : PT
Telephone Number : 352-382-7214
Provider Enumeration Date : 03/02/2006
Last Update Date : 10/18/2021

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Directions to “TLC REHAB, LLC ” Practice Location

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