| NPI | 1609984970 |
|---|---|
| Former Legal Business Name | PHYSICAL REHAB PRODUCTS INC |
| Entity Type | Organization |
| Authorized Contact | TRAVIS PATRICK RODGERS Owner 941-365-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 911) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-04-28 |