Organization Name: | REBOUND REHABILITATIVE SERVICES INC |
NPI Number: | 1477510907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEMANT D. PATEL (PRESIDENT) |
Mailing Address: | 105 Southpark Blvd. Suite B201 St. Augustine |
State: | FL US |
Postal Code: | 32086 |
Phone Number: | 9048241636 |
Fax Number: | 9048247488 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT29148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |