NPI | 1497039697 |
---|---|
Former Legal Business Name | ADVANTAGE REHAB LLC |
Entity Type | Organization |
Authorized Contact | MARK ANTHONY FORGIONE Physical Therapist 561-846-2748 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT24170) |
Additional Taxonomies | 225100000X Physical Therapist |
261Q00000X Clinic/Center | |
Enumeration Date | 2011-10-06 |
Last Update Date | 2024-07-19 |