| Organization Name: | PROFESSIONAL REHAB AND WELLNESS INC |
| NPI Number: | 1023266046 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELLE RIVERA (PRESIDENT) |
| Mailing Address: | 1128 Royal Palm Beach Blvd #243 Royal Palm Beach |
| State: | FL US |
| Postal Code: | 334111693 |
| Phone Number: | 5612041694 |
| Fax Number: | 5612041694 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 09/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT19335 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |