Organization Name: | INNOVATIVE SPORTS REHAB, LLC |
NPI Number: | 1750666814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY ABRAMS (PRESIDENT) |
Mailing Address: | 9131 Sw 22nd Ct Suite C Davie |
State: | FL US |
Postal Code: | 333246856 |
Phone Number: | 9546939090 |
Fax Number: | 9544759611 |
NPI Enumeration Date: | 10/19/2011 |
NPI Last Update Date: | 10/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-24885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |