NPI | 1780712539 |
---|---|
Doing Business As | EXCELL REHAB |
Entity Type | Organization |
Authorized Contact | PABLO EDGARDO DERBOGHOSSIAN President 941-488-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT13467) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT13467) |
2251S0007X Physical Therapist, Sports (Licence: FL PT13467) | |
2251X0800X Physical Therapist, Orthopedic (Licence: FL PT13467) | |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |