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Organization
REHABILITATION ON DEMAND, LLC
Active
Organization
REHABILITATION ON DEMAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY FRASER (OWNER)
(321) 288-0171
Entity
Organization
Contact information
Practice address
4501 N WICKHAM RD STE 103B, MELBOURNE, FL 32935-7100
(321) 610-3983
Mailing address
4501 N WICKHAM RD STE 103B, MELBOURNE, FL 32935-7100
(321) 610-3983
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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