Organization Name: | REHAB HEALTH PARTNERS LAKE WALES |
NPI Number: | 1083819700 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON RICHTER (SENIOR VP) |
Mailing Address: | 1112 Druid Cir Lake Wales |
State: | FL US |
Postal Code: | 338534307 |
Phone Number: | 8636797833 |
Fax Number: | 8636791532 |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |