| Organization Name: | OVERCOMERS REHAB & PHYSICAL THERAPY SERVICES, LLC |
| NPI Number: | 1073891123 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY R ELSE (PHYSICAL THERAPIST) |
| Mailing Address: | 51 Nw Carolina St Suite 103 W Melbourne |
| State: | FL US |
| Postal Code: | 329044107 |
| Phone Number: | 3217570626 |
| Fax Number: | 3217570323 |
| NPI Enumeration Date: | 07/22/2011 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT12961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |