MEDICARE: ONE ON ONE REHAB 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1982762159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE ON ONE REHAB INC

Provider Business Mailing Address
First Line	:	4968 ROYAL GULF CIR
Second Line	:	SUITE 102
City	:	FORT MYERS
State	:	FL
Zip	:	33966-7006
Country	:	US
Telephone Number	:	239-275-4411
Fax Number	:	239-275-6408

Provider Business Practice Location Address
First Line	:	4968 ROYAL GULF CIR
Second Line	:	SUITE 102
City	:	FORT MYERS
State	:	FL
Zip	:	33966-7006
Country	:	US
Telephone Number	:	239-275-4411
Fax Number	:	239-275-6408

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. LILIANA PATRICIA DEFIORE
Credential	:	P.T.
Telephone Number	:	239-275-4411

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	01/05/2015

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Directions to “ONE ON ONE REHAB INC ” Practice Location

Language	Start Address	Practice Location

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