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Organization
TLC REHAB, LLC
Active
Organization
TLC REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DREAMA M WALDROP PT (PRESIDENT/OWNER)
(352) 382-7214
Entity
Organization
Contact information
Practice address
10969 SE 175TH PL, SUMMERFIELD, FL 34491-0902
(352) 347-8877
(352) 347-9477
Mailing address
PO BOX 741708, ATLANTA, GA 30374-1708
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883054104
—
FL
Enumeration date
03/16/2006
Last updated
10/18/2021
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