| NPI | 1598881914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG CHEBERKO Owner 386-586-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |