| NPI | 1912456799 |
|---|---|
| Former Legal Business Name | AXIOM REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | DUSTIN PATRIC MOURA Registered Agent 407-312-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2086S0129X Surgery Vascular Surgery | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-06-06 |