| NPI | 1114678356 |
|---|---|
| Doing Business As | REBUILD HIGH PERFORMANCE RECOVERY CENTER |
| Doing Business As | REBUILD |
| Entity Type | Organization |
| Authorized Contact | KARINE KIANZA SCOTT Owner/Gm 813-403-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |