# RENEWAL REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033661046
- **Authorized official:** GREG TODD PT, OCS, CSCS (CO-OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (813) 907-0430

## Contact information

- **Practice address:** 613 S MAGNOLIA AVE, SUITE 2, TAMPA, FL 33606-2767
- **Practice address phone:** (813) 254-9475
- **Mailing address:** 613 S MAGNOLIA AVE, SUITE 2, TAMPA, FL 33606-2767
- **Mailing address phone:** (813) 254-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | AL4154 | FL | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016