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Organization

ISLAND REHABILITATION CENTER

Active
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Organization

ISLAND REHABILITATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHULANI K FERNANDO PHD, MA, BSC, FAAPM, (PRESIDENT OF ISLAND REHABILITATION)
(239) 394-4135
Entity
Organization

Contact information

Practice address
19 BALD EAGLE DR, SUITE F, MARCO ISLAND, FL 34145-3580
(239) 394-4135
(239) 394-6921
Mailing address
19 BALD EAGLE DR, SUITE F, MARCO ISLAND, FL 34145-3580
(239) 394-4135
(239) 394-6921

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
980018
FL

Other

Enumeration date
12/05/2007
Last updated
12/17/2007
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